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Nonaccidental trauma burns — ABEM Board MCQ

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HardPediatric emergenciesNonaccidental trauma burnsABEM Board

A 2-year-old child arrives with burns to both feet. Triage acuity is ESI 2; BP 94/58 mm Hg, HR 140/min. The burns are sharply demarcated in a stocking distribution with uniform depth. The caregiver gives an inconsistent history and delayed seeking care. Which of the following is the most likely diagnosis?

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Reveal the answer and explanation

Correct answer: E — Intentional immersion burn from child abuse

Bilateral symmetric sharply demarcated immersion burns with inconsistent history are concerning for abuse.

Reference: AAP child abuse guidance; American Burn Association guidance