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Consultation with 'battered' child is gate-crashed by fuming father

Three GPs discuss a tricky problem

Alice brings eight-year-old Hugo to you to discuss his general health and development. She says his school is increasingly concerned about the deterioration in his academic performance. He has become obsessively interested in watches and is no longer playing with friends.

She reminds you she is separated from Hugo's father Felix but that Hugo spends every second weekend with him.

As you begin to consider referral, the receptionists tell you Felix is on his way to your room. Felix bursts in, very angry, and shouts at you and Alice that there is nothing wrong with Hugo that a little discipline and structure will not sort out. He says if you refer Hugo anywhere he will sue you for invasion of privacy.

At this point you note on Hugo's arm several lacerations such as a

cogwheel might make, and a large

fading bruise. How will you handle

this situation?

Case history

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