Features suggestive of abuse in the history are Parental reluctance or inability to give the history of a significant injury History that is inconsistent with the injury (eg, bruises on the backs of the legs attributed to a forward fall) or apparent stage of resolution (eg, old injuries described as recent) History that varies depending on the information source or over time (it must be acknowledged that some discrepancies may be attributed to how the information was documented by the clinician) History of injury that is incompatible with the child's stage of development (eg, injuries ascribed to rolling off a bed in an infant too young to roll over, or to a fall down stairs in an infant too young to crawl) Inappropriate response by the parents to the severity of the injury—either overly concerned or unconcerned Delay in seeking care for the injury Major indicators of abuse on examination are Atypical injuries Injuries incompatible with stated history Childhood injuries resulting from falls are typically solitary and occur on the forehead, chin, or mouth or extensor surfaces of the extremities, particularly elbows, knees, forearms, and shins.