nbme3 - serious

[ArchivalUser]

A 4 year old boy is brought to the emergency department after a 6 hour onset of lethargy, he is unable to walk without assistance. His eyes are swollen shut. Deep tendon reflexes are symmetric. There are several bruises over the thorax that the mother had not noticed until now. He moans during the examination. Which of the following are the most likely explanation of these findings?
A Acetaminophen poisoning
B Child abuse
C Hepatitis B
D Myositis
E Toxic hepatitis