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 three-year-old girl presents to general pediatrics clinic for a well-child visit. Her mother reports that she has been growing and developing normally but because of new behaviors she has noticed with her child, she is concerned of possible abuse by the child's stepfather. Vital signs are stable and the physical examination is within normal limits. The child has no visual signs of abuse. Which of the following, if reported by the mother would signify potential sexual abuse in the child?
assistant
Simulating intercourse