Contusion
Condition
(Bruise)
Definition
A contusion is when blood vessels are damaged or broken after an injury. Blood and fluid then leak from the injured blood vessels into the tissue. This results in a discolored, purplish area in the skin. It takes two to three weeks to go away. A contusion is also called a bruise.
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Causes
Contusions are usually caused by bumps to the skin. This may happen from falling, bumping into something, or being hit or kicked.
Risk Factors
Almost everyone gets contusions. Those with a higher risk are:
- Kids and teens
- People who play contact sports
- People with blood-clotting problems
- People who are taking blood thinners, such as aspirin
Symptoms
Contusions may cause:
- Skin discoloration—usually blue and/or purple, fading to yellow
- Pain
- Swelling
Diagnosis
Contusions are diagnosed by physical exam of the skin.
Treatment
The goal is to reduce swelling and pain by:
- Putting ice or a cold pack on the injured area
- Raising the injured area above the level of the heart
- Taking pain medicine, as advised by the doctor
Prevention
Using proper safety equipment can help prevent contusions.
American Academy of Family Physicians
Centers for Disease Control and Prevention
CANADIAN RESOURCES:
Caring for Kids—Canadian Paediatric Society
Health Canada
American Academy of Family Physicians
Centers for Disease Control and Prevention
CANADIAN RESOURCES:
Caring for Kids—Canadian Paediatric Society
Health Canada
References
- Anticoagulation overview. EBSCO DynaMed website. Available at: https://www.dynamed.com/drug-review/anticoagulation-overview.
- Bruises. Lucile Packard Children’s Hospital website. Available at: http://www.stanfordchildrens.org/en/topic/default?id=bruises-90-P02795.
- Neutze, D. and Roque, J. Clinical evaluation of bleeding and bruising in primary care. American Family Physician, 2016; 93 (4): 279-286.
Contributors
- Mary-Beth Seymour, RN
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