ABUSE

Question 1

28 yo F c/o multiple facial and bodily
injuries. She claims that she fell on the
stairs. She was hospitalized for some
physical injuries seven months ago. She
presents with her husband.

Answer 1

Domestic violence
Osteogenesis imperfecta
Substance abuse
Consensual violent sexual
behavior

XR—skeletal survey
CT—maxillofacial
Urine toxicology
CBC

Question 2

30 yo F presents with multiple facial and
physical injuries. She was attacked and
raped by two men.

Answer 2

Rape

Pelvic exam
Urine hCG
Wet mount, KOH prep, cervical
cultures
XR—skeletal survey
CBC
HIV antibody
Viral hepatitis serologies