• Puncture wounds

  • Bruises on several different surface areas reportedly due to bumping into bedrail, while bruises are also present on top of head, and inside of thighs or on buttocks

  • Bruises in various stages of healing from fresh to faded

  • Multiple bruises or bruises forming patterns or clusters such as bruising on top of both forearms to elbows

  • Multiple bruises on various parts of the body, and in various stages of healing, should receive particular attention

  • Bruise is the shape/size of a familiar object such as handprint or belt buckle

  • Bruises repeatedly occur after certain events such as home visits, stressful events in the family or staff visits

  • Human bite marks

  • Fracture to ribs, skull, arms and leg bones

  • Unexplained internal injuries

  • Bilateral bruises (e.g. top of shoulders, both sides of face, insides of thighs)

  • Burns the shape of a familiar object such as an iron or electric burner

  • Small burns in the shape of cigarette marks, especially on the soles of feet, palms or back of buttocks

  • Scalding burns causing skin blistering from hot water

  • Burns showing a clear boundary line from emersion in hot liquid (e.g. foot burns up to the ankle, resembling a sock)

  • Burn marks on fingers or toes

  • Abrasion marks from rope or other restraints, especially on arms, legs, neck, hands, ankles, or mouth

  • Sprains, dislocations, fractures and/or broken bones involving ribs, skull, arms, legs, neck

  • Unexplained internal injuries

  • Cuts, lacerations, puncture wounds

  • Unexplained chipped teeth

  • Ulcers in the mouth from chemicals or poison

  • Tears/swelling in the mouth possibly from forced feeding