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While on vacation, a 28yearold male had a mountain biking accident that resulted in a broken leg and other injuries. He went to the local emergency room for treatment and was instructed to follow up with his primary care physician on arriving home. Three days after the accident, he presents in your office with crutches and a cast on his left leg. Using the crutches, he stumbles and almost falls as you ask him back to the exam area. You also notice a dry, crusted, bloody injury on his left forearm. As you read this chapter, consider the following questions: