Question

A 7-year-old boy is brought with a spiral fracture of the humerus after allegedly falling from a sofa. The history is inconsistent between caregivers, and there are bruises of varying ages. What is the most appropriate action?

Accepted Answer

Report to child protection services and conduct a thorough assessment for possible non-accidental injury

Answer

Accept the history and treat the fracture only

Answer

Discharge home without further assessment

Answer

Wait until the child discloses abuse before acting

Answer

Discuss concerns only with the caregivers and make no report

Practice question

A 7-year-old boy is brought with a spiral fracture of the humerus after allegedly falling from a sofa. The history is inconsistent between caregivers, and there are bruises of varying ages. What is the most appropriate action?