Multiple Arm Bruises in Medicine / Internal Medicine — 53yo Woman | Psychiatry | SMLE Q#1249
SMLE Question #1249
Medicine / Internal Medicine
Psychiatry
Last updated: February 2026
A 53-year-old woman presents to the emergency department with multiple arm bruises and a recent nondisplaced rib fracture. When interviewed alone, she states her husband hit her with a wooden stick 3 days ago and similar episodes occurred previously. She is tearful, oriented, and demonstrates decision-making capacity. She requests that no report be made because she fears retaliation and plans to return home today. You are practicing in Saudi Arabia. What is the most appropriate next step in management?
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