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When smoked, the drug bypasses this system, entering the bloodstream rapidly and affecting the brain in unnatural ways

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A story that is inconsistent with the physical signs, or that is implausible considering the child's motor skills (for example when a child who is not old enough to crawl is reported to have fallen down the stairs), is highly suggestive of abuse.6 Cutaneous manifestations of abuse include bruising, contusions, erosions, lacerations, burns, bites, and traumatic alopecia

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