Yes. Sometimes the diagnosis of AHT is obvious and straightforward. Sometimes the diagnosis is difficult. Multiple factors can contribute to the uncertainty. The clinical presentations and findings of abusive and non-abusive pediatric head trauma overlap, young victims are usually unable to provide a history of their injury event, and there is no diagnostic gold standard. When uncertainty persists, following the recommendation of a validated, evidence-based screening tool could lessen practice disparities, missed AHT, and the negative impacts of physicians’ inexperience and implicit bias.