Indentifiyng species is the answer
Topiramate
Topiramate is the drug which might be responsible for this malformation.
Topiramate is an anticonvulsant drug which is taken alone or with other drugs to prevent and control epilepsy. Topiramate is produced in four forms and are all taken by mouth. Topiramate has many side effects which include birth defects if is taken during pregnancy, osteoporosis, vision loss, nervousness and upper respiratory tract infection.
Liver
In pediatric patients, the liver and spleen are very large in
proportion to the size of the abdominal cavity and are more easily injured. The
soft, flexible ribs of infants and young children do not protect these two
organs very well and may allow injury to underlying organs, even without fracturing
the ribs.
