This injury is virtually pathognomic for a bite injury. Measurements could be made to help support her case in the event that charges are filed. While not conclusive, these measurements could be a part of a thorough case presentation and eliminate doubt as to an artificially-induced injury. Always keep in mind the incredible pathogenicity of human oral flora, and give antibiotics when appropriate. He does appear mildly intoxicated.
Physical exam shows the lesion pictured at left.
Several other abrasions are found over the face and anterior chest. Although not totally clear, the photo shows a pattern injury over the left anterior chest. The pattern is almost herringbone in formation, and in this case suggests a tread of a shoe. This supports the patient's claims of being kicked in the chest. Exam of the other abrasions did not yield any useful forensic information.