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BRUISE

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PHYSICAL DATA
Vital signs
Description Of bruise
Pain evaluation (location, nature, severity, etc.)
Injury evaluation (any associated bleeding,
deformity, swelling, etc.)
Evidence of a recent fall

MEDICAL HISTORY
Patients age and sex
All current medications, including any recent
changes, especially anticoagulants, NSAIDs,
salicylates and other platelet inhibitors
Behavior over last 48 hours (especially whether
patient has movement disorder or aggressive
behavior)
Any history of tendency to easy bruising
All current diagnoses
Any recent lab or diagnostic test results

BRUISE DESCRIPTORS
Stage1: Pinkish red color that can be very tender
to touch
Stage2 : Blue or purplish color
Stage3 : Greenish color
Stage4 : Brown or yellowish color
Bruises change colors over time in a fairly
predictable pattern. This makes it possible to
estimate when an injury occurred by the color of
the bruise. Initially, a bruise will be reddish, the
color of the blood under the skin. After one to two
days, the red blood cells begin to break down,
and the bruise will darken to a blue or purplish
color. This fades to green at about day six. Around
the eighth or ninth day, the skin over the bruised
area will have a brown or yellowish appearance.
It is important to note the color of a bruise so
you can look back and try to figure out when it
occurred and perhaps try and figure out what
may have happened.
Signs of infection around the bruised area include
streaks of redness, pus or other drainage, or
fever.

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