system
Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
A 3-year-old girl is brought to the emergency department because of an inability to walk for a few days. The patient’s mother says that the child was lying on the bed and must have fallen onto the carpeted floor. She lives at home with her mother and her 3-month-old brother. When the patient is directly asked what happened, she looks down at the floor and does not answer. Past medical history is noncontributory. Physical examination shows that the patient seems nervous and has noticeable pain upon palpation of the right thigh. A green-colored bruise is also noted on the child’s left arm. Radiographs of the right lower extremity show a femur fracture. Which of the following is the next best step in management?
assistant
Obtain a complete skeletal survey to detect other bony injuries and report child abuse case.