I think the description here is a little odd, but they’re suggesting there’s evidence of really serious spanking. Whenever the story doesn’t make sense or there are any concerning physical exam findings, it is critical to work up for nonaccidental trauma.
Even if we're suspecting abuse, the answer should be to contact child protective services. What if the abuser does not hit the child? Can be abuse with a neg skeletal survey anyway
This was a really confusing question.Pt being diagnoses with URI and then bullae I wasn't thinking of abuse at all. If this is how the exam will be I think I'm doomed. :(
They're describing bullae 2/2 to water burn from dipping the bb into hot water butt-first