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A bruise, also called a contusion, is a type of relatively minor hematoma of tissue[1] in which capillaries and sometimes venules are damaged by trauma, allowing blood to seep into the surrounding interstitial tissues. As a type of hematoma, a bruise is always caused by internal bleeding into the interstitial tissues, usually initiated by blunt trauma, which causes damage through physical compression and deceleration forces. Increased distress to tissue causes capillaries to break under the skin, allowing blood to escape and build up.
During this time, larger bruises may change color due to the breakdown of hemoglobin from within escaped red blood cells in the extracellular space. Bruise shapes may correspond directly to the instrument of injury or be modified by additional factors. Condition and type of tissue: In soft tissues, a larger area is bruised than would be in firmer tissue due to ease of blood to invade tissue.
Age: elderly skin and other tissues are often thinner and less elastic and thus more prone to bruising. Diseases: Coagulation, platelet and blood vessel diseases or deficiencies can increase bruising due to more bleeding.
The harm score is determined by the extent and severity of the fractures to the organs and tissues causing the bruising, in turn depending on multiple factors. Low levels of damaging forces produce small bruises and generally cause the individual to feel minor pain straight away.
Damage that causes bruising can also cause bones to be broken, tendons or muscles to be strained, ligaments to be sprained, or other tissue to be damaged. Treatment for light bruises is minimal and may include RICE (rest, ice, compression, elevation), painkillers (particularly NSAIDs) and, later in recovery, light stretching exercises. Very gentle massage of the area and application of heat may encourage blood flow and relieve pain according to the gate control theory of pain, although causing additional pain may indicate the massage is exacerbating the injury.[6] As for most injuries, these techniques should not be applied until at least three days following the initial damage to ensure all internal bleeding has stopped, because although increasing blood flow will allow more healing factors into the area and encourage drainage, if the injury is still bleeding this will allow more blood to seep out of the wound and cause the bruise to become worse. During an autopsy, bruises accompanying abrasions indicate the abrasions occurred while the individual was alive, as opposed to damage incurred after death. Folk medicine, including ancient medicine of Egypt, Greek, Celts, Turks, Slavs, Mayans, Aztecs and Chinese, has used bruising as a method of treatment for some types of health problems.
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Bruises can involve capillaries at the level of skin, subcutaneous tissue, muscle, or bone.
Trauma sufficient to cause bruising can occur from a wide variety of situations including accidents, falls, and surgeries. Sometimes bruises can be serious, leading to other more life-threatening forms of hematoma, such as when associated with serious injuries, including fractures and more severe internal bleeding. As time progresses, blood seeps into the surrounding tissues, causing the bruise to darken and spread. The striking colors of a bruise are caused by the phagocytosis and sequential degradation of hemoglobin to biliverdin to bilirubin to hemosiderin, with hemoglobin itself producing a red-blue color, biliverdin producing a green color, bilirubin producing a yellow color, and hemosiderin producing a golden-brown color.[3] As these products are cleared from the area, the bruise disappears.
Bruises often become more prominent as time lapses, resulting in additional size and swelling.
For example, a contracted muscle will bruise more severely, as will tissues crushed against underlying bone.
Further bleeding and excess fluid may accumulate causing a hard, fluctuating lump or swelling hematoma. The symptoms and signs of these injuries may initially appear to be those of simple bruising. Particularly, immediate application of ice while elevating the area may reduce or completely prevent swelling by restricting blood flow to the area and preventing internal bleeding.
Unexplained bruising may be a warning sign of child abuse, domestic abuse, or serious medical problems such as leukemia or meningoccocal infection. It allows them to stay connected to their clients, customers, vendors and employees, which will increase productivity and reduce significant costs every month. The advantages listed below can help increase the everyday operations of nearly any business. It is an easy way to edit and share documents in real-time, and collaborate in a variety of formats. It also helps minimize the need to travel to distant locations, when making a simple video call offers a face-to-face solution while performing the duties of their job.
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A bruise may be named by the length of its diameter as an petechia (less than 3 mm), purpura (3 mm to 1 cm) or ecchymosis (1 to 3 cm), although these terms can also refer to internal bleeding not caused by trauma.
Disease states such as insufficient or malfunctioning platelets, other coagulation deficiencies, or vascular disorders, such as venous blockage associated with severe allergies[2] can lead to the formation of bruises in situations in which they would not normally occur and with only minimal trauma.
The likelihood and severity of bruising depends on many factors, including type and healthiness of affected tissues. Nerve endings within the affected tissue detect the increased pressure, which, depending on severity and location, may be perceived as pain or pressure or be asymptomatic.

Bruising present in a different location than the site of impact is called ectopic bruising and occurs when the tissue at the site of injury is loose, allowing blood to travel under the skin to another location due to gravity or other forces, such as in a black eye.
Capillaries vary in strength, stiffness and toughness, which can also vary by age and medical conditions.
Normally, light bruises heal nearly completely within two weeks, although duration is affected by variation in severity and individual healing processes;[5] generally, more severe or deeper bruises take somewhat longer. This has the potential to cause compartment syndrome as the swelling cuts off blood flow to the tissues. Abdominal bruising or severe injuries that cause difficulty in moving a limb or the feeling of liquid under the skin may indicate life-threatening injury and require the attention of a physician. As the rise in popularity of video conferencing continues, the costs of its equipment and advanced technology have dropped. This provides faster decisions and a quicker sales cycle to stay far ahead of any competitor. Minor bruises may be easily recognized in people with light skin color by characteristic blue or purple appearance (idiomatically described as "black and blue") in the days following the injury. The damaged capillary endothelium releases endothelin, a hormone that causes narrowing of the blood vessel to minimize bleeding.
The trauma that induced the bruise may also have caused other severe and potentially fatal harm to internal organs. Scraping, (Gua Sha), uses a small hand device with a rounded edge to gently scrape the scalp or the skin. As the endothelium is destroyed, the underlying von Willebrand factor is exposed and initiates coagulation, which creates a temporary clot to plug the wound and eventually leads to restoration of normal tissue.
For example, impacts to the head can cause traumatic brain injury: bleeding, bruising and massive swelling of the brain with the potential to cause concussion, coma and death. Bruising present around the navel (belly button) with severe abdominal pain suggests acute pancreatitis. Slapping, (Pai-Da Therapy), is performed using two to five fingers or the whole hand mostly against joints such as shoulders, elbows, knees, wrists and ankles.
Treatment for brain bruising may involve emergency surgery to relieve the pressure on the brain.
For healthy people these procedures applied to a healthy part of the skin should cause redness which disappears in minutes or hours.
For patients with pain, soreness or stiffness, the same procedure will typically cause bruising or blood blisters that lasts days. Each of these methods of treatment is repeated by the health practitioner or the patient himself over a number of days or weeks.

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