Bruising_Flashcards_Updated
What should be done if there is active bleeding in a patient with bruising?
If there is active bleeding, admit the patient to hospital.
What are the red flags for non-accidental injury (NAI) related to bruising in children?
Red flags for non-accidental injury (NAI) include bruises on a child who is not yet independently mobile, bruises with indicative features, bruises in indicative places, implausible, inadequate, or inconsistent explanations for the bruising, and delay in presentation.
What are indicative features of bruises that suggest non-accidental injury?
Indicative features of bruises that suggest non-accidental injury include unusually large bruises, multiple sites or clusters of bruises, bruises of similar shape and size, and patterned bruises in the shape of a hand print, ligature, stick, tooth, grip, or implement (such as a belt).
What are indicative places where bruises might suggest non-accidental injury?
Indicative places where bruises might suggest non-accidental injury include any non-bony part of the body or face, such as the eyes, ears, cheeks, back, abdomen, buttocks, arms, and genitalia.
What should be done if there is suspicion of non-accidental injury?
If there is suspicion of non-accidental injury, screen for other injuries, perform a skeletal survey to investigate, and inform the safeguarding team.
What should be considered if there is no suspicion of non-accidental injury but unexplained petechiae, hepatosplenomegaly, or high WBC on FBC?
Consider leukemia if there are unexplained petechiae, hepatosplenomegaly, or high WBC on FBC.
What should be done if there is periorbital bruising and a palpable abdominal mass?
Urgent referral for neuroblastoma should be made if there is periorbital bruising and a palpable abdominal mass.
What further investigations might be conducted to detect the underlying cause of bruising if there is no suspicion of NAI?
Further investigations might be conducted to detect the underlying cause of bruising if there is no suspicion of NAI.
