History and Physical A 2-year-old is seen in the clinic after their mother noticed several severe bruises on their shins, knees and elbows. They have been limping as well, favoring their right leg. Their left knee appears to be quite swollen and warm to the touch, and they cry if the knee is touched Potential Nurse's Notes Client is vital signs are normal. Lungs clear throughout. Heart rate normal with S1S2. Abdomen is distended, taut, and tender upon palpation. Bowl sounds in all four quadrants. The client has multiple bruises on arm, legs, and torso. Vital Signs Temperature: 98.5 degrees F Heart rate: 120/min, regular rhythm Blood pressure: 124/72 Respiratory rate: 24/min Oxygen saturation: 98% on room air I & O None reported Diagnostics Labs: Hemoglobin 9g/dL Hematocrit 28% Platelets 200,000 ul Prothrombin time 15.2 seconds INR 1.3 Medications Acetaminophen as needed for fever Prioritize Hypothesis:
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