Which bruise location is most concerning when assessing for abuse?

Bruises on the head, face, and ears of a young infant are very suspicious for abusive head trauma and should prompt medical examination and a CT scan of the child's head.


What is the most common site of abusive bruising?

Abuse: Bruising is common in children who are abused. Any part of the body is vulnerable. Bruises are away from bony prominences; the commonest site is head and neck (particularly face) followed by the buttocks, trunk, and arms.

What kind of bruising indicates physical abuse?

Examples of suspicious bruises can include: Bruising on babies or children who are not independently mobile. Bruising in clusters, that occur multiple times in similar shapes and sizes. Bruising on areas of the body such as the torso, ears, neck, eyes, cheeks and buttocks.


Which part of the body is most likely to be injured by physical abuse?

Abuse-related injuries were most common on upper extremities (45% of visits) and lower extremities (32%), with injuries on head or neck noted in 13 visits (42%). Bruising was observed in 39% of visits, most commonly on upper extremities.

When should you worry about a bruise safeguarding?

Bruising in pre-mobile babies or children with very limited mobility is always a cause for immediate concern.


When Bruising in Children is Indicative of Abuse



Which bruises are likely to be non accidental and should be of concern?

Whereas bruising from accidental trauma is usually over bony prominences (e.g. knees, elbows, shins, forehead), intentional injury often leads to bruising on the softer regions of the thighs, abdomen, buttocks, cheeks, neck and anogenital regions.

What is an abnormal bruise?

An abdominal hematoma can be intrabdominal or an abdominal wall hematoma. Abdominal wall hematoma usually results from bleeding inside the muscle layers of the abdominal wall, most commonly the vascular rectus muscle. A known category of this hematoma is rectus sheath hematoma.

What is the most injured region of the human body?

Lower Back – the Most Prone

Your lower back, known as the lumbar, has five motion segments. The lower portions are at the highest risk for injury, and you could experience pain throughout the body and not just in that lower back area – such as pain that radiates down an arm or leg.


What part of the body is most easily damaged?

The most commonly broken bones are the clavicle, arm, wrist, ankle, toe, and feet and 50% of broken bones in adults happen to arms. But what about getting hot sauce in your eye? Or getting chomped by dogs, or falling on your butt, or biting your tongue?

What are the four areas of the body most likely to be injured?

Head, neck, back or spine injuries, and broken bones top the list. More specifically, these injuries can often need the highest level of trauma care – or what's often called Level 1 trauma care. Why? These kinds of injuries can be more complex, which may require expert care from a range of specialists.

What is the ten 4 bruising rule?

Pierce et al15 previously derived a bruising clinical decision rule (BCDR) named the TEN-4 (bruising to the torso, ear, or neck or any bruising on an infant <4 months of age), which is applicable to children younger than 4 years who have bruising.


What are the three types of bruises?

There are three types of bruises based on their location on your body:
  • Subcutaneous bruises occur just beneath the skin.
  • Intramuscular bruises occur in the underlying muscles.
  • Periosteal bruises occur on the bones.


What do different color bruises indicate?

It often starts red because fresh, oxygen-rich blood has newly pooled underneath the skin. After around 1–2 days, the blood begins to lose oxygen and change color. A bruise that is a few days old will often appear blue, purple, or even black. In about 5–10 days, it turns a yellow or green color.

Where is abuse most likely to occur?

Abuse and neglect can occur anywhere: in your own home or a public place, while you're in hospital or attending a day centre, or in a college or care home. You may be living alone or with others. The person causing the harm may be a stranger but, more often than not, you'll know and feel safe with them.


Which of the following are common areas in which accidental bruises or injuries may occur?

Cuts and bruises can appear in many places on a child's body. Common areas include the knees, elbows, shins and forehead. These locations tend to break a child's fall when they are involved in a collision or trip, indicating that the trauma was unintentional. However, these marks can also appear in other locations.

On what body parts are bruises less likely to be caused by an accident?

Bruises to the buttocks, genitals, back,2 or numerous bruises in an infant younger than 9 months3 are less likely to be due to an accident. Patterns of bruising in infants and children that do not match the injury scenario offered by caretakers also should raise the suspicion of abuse.

Which body part was most sensitive Why?

The receptors in our skin are not distributed in a uniform way around our bodies. Some places, such as our fingers and lips, have more touch receptors than other parts of our body, such as our backs. That is one reason why we are more sensitive to touch on our fingers and face than on our backs.


Which part is weakest in human body?

The Stapedius, the smallest skeletal muscle in the human body, which is about 1 mm in length, is regarded to be the weakest muscle.

Which body part is least sensitive?

According to Stevens et.al., the most sensitive body part to temperature is the face, particularly the face and cheeks, while the least sensitive ones are the thigh and calf. Temperature threshold is the point at which one can tolerate the hotness or coldness of a stimulus.

What is the most common injury on site?

Falls are the most common construction site injury, making up about 35% of all construction accidents. These often occur when a worker falls from scaffolding, ladders, roofs, chimneys, etc. The severity of the fall depends on how far from the ground the worker was when they fell and the circumstances of the fall.


Which of the following body parts is more susceptible to injury at work?

Regarding specific body parts, back-related injuries were most prevalent followed by hand injuries and leg injuries.

Where does the injury commonly happen?

Injuries can happen at work or play, indoors or outdoors, driving a car, or walking across the street. Wounds are injuries that break the skin or other body tissues. They include cuts, scrapes, scratches, and punctured skin. They often happen because of an accident, but surgery, sutures, and stitches also cause wounds.

How do you know the severity of a bruise?

How Do You Know When a Bruise Is Serious?
  1. The bruised area is large.
  2. The bruise appeared unprovoked or without any injury.
  3. The bruise shows no signs of healing even after a week.
  4. The bruise is increasing in size.
  5. More bruises start appearing.
  6. The bruise is at certain sites, such as over a joint.


What does bilateral flank bruising indicate?

Grey Turner's sign refers to bruising of the flanks, the part of the body between the last rib and the top of the hip. The bruising appears as a blue discoloration, and is a sign of retroperitoneal hemorrhage, or bleeding behind the peritoneum, which is a lining of the abdominal cavity.

What are the different levels of bruises?

Did you know that bruises are categorized like burns? They can be described as first, second, or third degree, depending on how bad they are.