Okay, welcome. My name is Devine. This is episode 449 of the Devine

Intervention Podcasts. In today's podcast we're going to be continuing the

rapid review series for the USMELA Step 2, CK and Step 3 exams,

this is going to be series 93.

Let's get right to it.

So what if they give you a question

about a two-year-old boy and they tell you that he has had multiple fractures and they tell you that

they see all these cigarette marks on his skin and they tell you that he's brought

into the hospital by his mom because she noticed that three days ago he had

become less and less responsive and they tell you that on physical exam,

he has retinal hemorrhage

and the tell you that brain imaging shows

increased radio density.

So obviously the increased radio density is going to be from a bleed.

If you see this, what should you think about? I really hope you're saying,

divine, this sounds an awful lot like child abuse. Child abuse is something that you need to be able to recognize on exams.

And there are certain things that will tell you that this is child abuse in a question.

One, parents that are very young, so like teenage parents for

example, that's a very classic risk factor on the US enemy exams. Two,

when there is an unstable situation at home, think also about potential child abuse 3.

They can write a military question involving child abuse on your exam where you see a

person they just came back from deployment and then everything just goes

...