Suspect inflicted trauma if the answer is yes to any of the following questions:

Is there an unusual distribution or location of lesions?

Is there a pattern of bruises or marks?

Can a bleeding disorder or collagen disease be ruled out as a cause of lesions?

If there is a bite or handprint bruise, is it adult size?

If there is a burn, are the margins clearly demarcated with uniform depth of burn?

If there is a burn, is there a stocking and glove distribution?

Are there lesions of various healing stages or ages?

Is the reported mechanism of injury inconsistent with the extent of trauma?