Paediatricscommon
A 5-month-old girl is brought to the emergency department because her left thigh is swollen and she cries when it is moved. Her father says she rolled off a couch onto carpet an hour ago. She does not yet roll over or sit unsupported. Radiographs show a spiral fracture of the left femur. There is a 3 cm bruise over the left cheek and a smaller one behind the right ear. The family have been visited for six months by the local child and family support service for parental depression and financial hardship. Which one of the following actions does this combination of findings now require of you?