I think there are many reasons she called his injuries to question. We probably wont know for sure until the end.
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If Lucas had a concussion or any other brain injury, wouldn't the nurse have noticed? She saw him throwing up several times, and while I doubt he actually went to a doctor, wouldn't the signs be obvious to the nurse? Especially since she had to have known he was being abused. He came in "looking like he's been in a fight" and throwing up.
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