Intimate partner violence and sexual assault Quiz: Ace Your Exams
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A 28-year-old woman presents to the emergency department with a partner, reporting a fall down the stairs while carrying laundry 2 days ago, now with severe wrist pain. No other injuries or loss of consciousness are reported. The partner repeatedly comments, “She’s always been clumsy.” There is no significant past medical or surgical history, no current medications, and no known drug allergies. Review of medical records reveals two prior emergency department visits in the past 6 months for a concussion and rib contusion, both attributed to accidental falls. Temperature is 37.0°C (98.6°F), pulse is 88/min, respirations are 16/min, blood pressure is 124/78 mmHg, oxygen saturation is 98% on room air. On examination, the patient appears anxious and frequently glances toward the partner. There is tenderness and swelling over the left wrist with limited range of motion, along with faint facial bruising. Which of the following additional findings would most strongly support the diagnosis of concern?
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