The correct answer is F. Reassure and observe.

This is an image of coining, a cultural practice that can be used to address many symptoms in traditional medicine. Although it may appear similar to child abuse or flagellate erythema, it is a benign finding from petechiae.

The other options are not appropriate next steps for this otherwise benign finding.

References:

Lilly E, Kundu RV. Dermatoses secondary to Asian cultural practices. Int J Dermatol. 2012;51(4):372-382. doi:10.1111/j.1365-4632.2011.05170.

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