A nursing student informs you that the examination revealed ecchymoses on the face,breasts,and buttocks of a 14-year-old patient.Your best response is to inform the student that these findings are most likely related to which of the following?

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Ecchymosis is a bruise or superficial bleeding under the skin or mucous membranes.Areas of ecchymosis are often signs of trauma that could be the result of physical abuse.In a 14-year-old,such a finding on the face,breasts,and buttocks would most likely be caused by physical abuse.Ecchymosis can also occur with heparin or Coumadin use or liver dysfunction; however,these would not typically be located on the breasts and buttocks.

A Nursing Student Informs You That the Examination Revealed Ecchymoses