11th May 2024

A 3-year-old girl is brought to the emergency department with multiple bruises of different ages over her arms and legs and a fractured clavicle.

A 3-year-old girl is brought to the emergency department with multiple bruises of different ages over her arms and legs and a fractured clavicle. The caregiver’s explanations for the injuries are vague and inconsistent with the child’s developmental capabilities. The child appears fearful and withdrawn during the examination.

Which is the most appropriate next step in management?