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The case: 5-year-old with fractured femur and multiple bruises.

Publication: Consultant
Publication Date: 01-FEB-05 		Format: Online - approximately 1460 words
Delivery: Immediate Online Access
Full Article Title: The case: 5-year-old with fractured femur and multiple bruises.(Child Abuse--or Mimic? Is There a Medical Explanation?)

Article Excerpt
A 5-year-old boy was referred for evaluation of a femur fracture. A day earlier (while his mother was at work), the boy had jumped off the back of his father's pickup truck, which was parked in the driveway. The boy's older and younger brothers were present and reported the incident to the father. The father found the child sitting on the ground; the child told his father that his leg hurt and that he wanted to go to sleep. Apparently, the father put the child to bed. The mother reported that on the morning of admission, the child was wearing the same clothes as when she had left for work the previous day. The child could not walk, although he was able to bear some weight; his mother brought him to the hospital. There was no other history of acute trauma involving his leg.

The child had several bruises on his face, arms, and back that, according to his mother, came from fighting with his brothers. The mother also reported that the boy had incurred a scalp laceration a week earlier. There was a distant history of a "broken leg" sustained while the boy was being cared for by relatives and was living out of the country.

There is little medical history of illness and no...

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