Dr. Valerie Adun is examining Alexa James, age fifteen months, who was brought into the urgent care center by her mother, Sheila Washington, and her live-in boyfriend, Lewis Murphy.

 

X-ray results show a fracture of her right tibia (lower leg) and a one to two-week old fracture of her right femur (upper leg). When asked by the doctor, neither Ms. Washington nor Mr. Murphy could explain Alexa's injuries. They claim to be the child's only caretakers.