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Death and Distraction

Arch Intern Med. 1998;158:2183-2184.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

INTRODUCTION

A 13-YEAR-OLD black boy was living in a foster home. According to the foster mother, he fell in the tub and sustained an injury to the right hip. The boy was described as being sarcastic, belligerent, and a poor historian during the examination at the hospital. He also accused the physician of trying to play with him. The results of radiography of the right hip were negative for fracture. His temperature was 37.6°C; pulse rate, 82 beats/min; respiration rate, 20/min; and blood pressure, 110/62 mm Hg. The examination was not prolonged, and the boy was sent home with the diagnosis of a right-hip contusion. Ibuprofen was prescribed for pain. Two days later at a follow-up visit, the boy denied any problems other than some tenderness in the right hip. The foster mother reported a productive cough in the child. Again, he was difficult to examine and had a nonchalant attitude. . . . [Full Text of this Article]

AUTOPSY FINDINGS

COMMENT

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

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Arch Intern Med 2000;160:3029-3031.
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