Review Question - QID 218795

A 28-year-old woman presents to her primary care physician for her annual physical exam. She says that she has no updates about her health at this time. Her past medical history is significant for major depressive disorder for which she takes sertraline. Her temperature is 98.6°F (37°C), blood pressure is 115/71 mmHg, pulse is 62/min, and respirations are 15/min. On physical exam, she is found to have multiple bruises in different stages of healing on her upper arms, upper legs, and back. Small round lesions are seen on her hips and stomach. When asked about these lesions, she turns away and says that she is simply clumsy and "always tripping." Which of the following is the most appropriate response?