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Virtual Patient CASE: 26-month-old male with Down syndrome who was bought in by his mother who reports he has been complaining of abdominal pain x2 days, had emesis x1, is lethargic, sweating, breathing rapidly, and has diminished urine output. All symptoms started soon after his "falling out of the bed during his nap". Patient findings shows ill appearance, decreased level of responsiveness, tachycardia, hypertension, abdominal distension with epigastric bruising, and diffused abdominal tenderness with guarding and rebound tenderness and macular discoloration on bilateral wrist consistent with aging ligature marks.
The patient was diagnosed with Child Abuse: Act of Commission and Traumatic intra-abdominal organ injury and was sent to the ER immediately due to critical findings.
1. What resources are available in your community (CHICAGO) to assist with concerns such as those faced by your virtual patient?
2. What are the reporting requirements for your state (ILLINOIS) and to whom would you report?
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