A 3-year-old child presents to the emergency department after falling off a low sofa. There is a spiral fracture of the mid-shaft of the humerus with ...

Question

A 3-year-old child presents to the emergency department after falling off a low sofa. There is a spiral fracture of the mid-shaft of the humerus with minimal bruising and an inconsistent history from the caregiver. What is the most appropriate next step?

Accepted Answer

Report suspected non-accidental injury to child protection services and ensure the child's immediate safety

Answer

Accept the explanation and discharge with a sling

Answer

Treat the fracture and document but take no further action

Answer

Confront the caregiver aggressively and refuse treatment

Answer

Ignore concerns unless the child directly discloses abuse

ca-mccqe1 MCQ (SBA): Suspected child abuse

A 3-year-old child presents to the emergency department after falling off a low sofa. There is a spiral fracture of the mid-shaft of the humerus with minimal bruising and an inconsistent history from the caregiver. What is the most appropriate next step?