Which of the following would indicate that a patient is the victim of intimate partner violence? Select all that apply
a. Vaginal/rectal bleeding
b. Vague symptoms such as chronic pain
c. Refusal of the patient to discuss the injury
d. Multiple ecchymoses in various stages of healing
e. Previous injuries for which the individual did not seek health care
f. Injury is inconsistent with the patient's report of how it occurred
A, B, C, D, E, F
Indications of Intimate Partner Violence (IPV) include: vaginal/rectal bleeding; vague symptoms such as chronic pain; refusal of the patient to discuss the injury; multiple ecchymoses in various stages of healing; previous injuries for which the individual did not seek health care; and injury inconsistent with the patient's report of how it occurred. Other indications would include: significant other has a history of previous violence or substance abuse; frequent urinary tract infections; frequent sexually transmitted infections; and significant other accompanies the patient to the ED, answers questions for patient, and refuses to leave the patient's side.
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