CLINICAL CASE Youth Violence: Effective Screening and Prevention

Upon evaluation, Thomas’s injuries appeared to be both minor and superficial— he had a variety of bruises, lacerations, cuts, and scrapes—but no evident signs of significant trauma. A neurological exam revealed no focal findings, and all cranial nerves were intact. Thomas had full range of motion in all four extremities. There was no indication of internal organ damage, and, though Thomas sported quite a remarkable black eye, he had no signs of altered consciousness or physical signs consistent with concussion or intracranial hemorrhage.