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A 9-year-old girl is brought to the pediatrician by her father for dysuria, genital pruritus, and vaginal discharge. Cultures of the discharge are sent, revealing the causative agent to be a Gram-negative glucose-fermenting, non-maltose fermenting diplococci. Which of the following steps should the physician follow next?
Tell the father that the child needs antiobiotics to treat the bacterial infection
Discuss with the father that the child is being sexually abused
Contact the mother instead of the father
Contact Child Protective Services
Treat the child with antibiotics and schedule a follow up
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You are asked to examine a 1-year-old child brought to the emergency department by his sister. The sister reports that the child has been acting strangely since that morning after "getting in trouble" for crying. The child appears lethargic and confused and is noted to have a cigarette burn on his forearm. Emergency head CT reveals a subdural hematoma. Which of the following additional findings is most likely?
Posterior rib fracture
Bilateral retinal hemorrhages
Burns to buttocks