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but considerable caution is required when estimating the upper and lower age limits for bruising. Histopathology of bruises is worth performing in some fatal cases. Histology can rule out skin lesions such as blue naevi and can confirm bruising in those with dark skin. referral to a haematologist and further investigation will be required.
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Biomechanical studies using theoretical constructs or various models cannot provide the required human data. The nature of child abuse is such that, unlike accidental injuries, the reliable accounts of independent witnesses are rarely available.
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