A 2-year-old boy is brought to a mixed tertiary ED by his stepfather. He is refusing to weight bear, agitated, and distressed. His stepfather says he has been limping for a few days and becomes defensive with specific questions. The child weighs 12 kg and has normal vital signs. You are concerned about non-accidental injury.
In addition to non-accidental injury, list three (3) other differentials for a limp in this child.
(Marked out of 3.0)
/ 3
You find trunk bruising and circumferential bruising around the upper arm. Name five (5) other examination findings consistent with non-accidental injury.
(Marked out of 5.0)
/ 5
A skeletal survey shows multiple old fractures at different healing stages. Name two (2) alternative differentials that may give a similar imaging appearance.
(Marked out of 2.0)
/ 2
The child remains irritable and inconsolable. What further investigation would you consider, and why?
(Marked out of 3.0)
/ 3
Total Score: 0 / 13
Percentage: 0%
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