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Inflicted Bruising — RACP Paediatrics MCQ

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ModerateEmergency PaediatricsInflicted BruisingRACP Paediatrics

A 2-year-old presents with bruising to the buttocks and lower back in a pattern consistent with a belt or strap. His mother's partner provides inconsistent explanations. What is the most appropriate action?

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Correct answer: B — Make a mandatory report to child protection services, document injuries carefully with body maps and photographs, and complete a medical child protection assessment

Patterned bruising (belt marks, bite marks, loop marks) is pathognomonic of inflicted injury. Mandatory reporting to child protection is required in all Australian jurisdictions. Detailed documentation (body maps, photographs, measurements), skeletal survey (<2 years), and ophthalmological examination should be completed.

Reference: RCH Melbourne – 2024 – Clinical Practice Guidelines: Physical Abuse