Multiple Fading Ecchymoses On in Medicine / Internal Medicine — 32yo Woman | Psychiatry | SMLE Q#1001

SMLE Question #1001

Medicine / Internal Medicine Psychiatry
Last updated: February 2026
A 32-year-old woman presents with multiple fading ecchymoses on the upper arms and forearms. In a private discussion, she discloses repeated physical abuse by her husband over several months. She denies suicidal ideation, says she feels safe enough to return home today, and declines any additional physical examination. She requests that law enforcement not be contacted at this time. What is the most appropriate next step in management?

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