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Children may disclose abuse themselves. 
Other factors which point towards child abuse include:
story inconsistent with injuries
repeated attendances at A&E departments (not at GP)
late presentation
child with a frightened, withdrawn appearance - 'frozen watchfulness'

Possible physical presentations of child abuse include:
bruising
fractures: particularly metaphyseal, posterior rib fractures or multiple fractures at different stages of healing
torn frenulum: e.g. from forcing a bottle into a child's mouth
burns or scalds
failure to thrive
sexually transmitted infections e.g. Chlamydia, Gonorrhoea, Trichomonas