ABUSE

Question 1

Domestic violence DDx:

3

Answer 1

1. Osteogenesis imperfecta.
2. Substance abuse.
3. Consensual violent sexual behavior.

Question 2

Domestic violence workup:

4

Answer 2

1. XR — skeletal survey.
2. CT — maxillofacial.
3. Urine tox.
4. CBC.

Question 3

Rape DDx:

1

Answer 3

1. Domestic violence.

Question 4

Rape workup:

10

Answer 4

1. Forensic exam (sexual assault forensic evidence [SAFE] collection kit).
2. Pelvic exam.
3. Urine hCG.
4. Wet mount, KOH prep.
5. Cervical cultures.
6. Chlamydia and gonorrhea test.
7. XR-skeletal survey.
8. CBC.
9. HIV antibody.
10. Viral hep serologies.