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 Internal Medicine

Bruise

Bruise

Bone bruise
Bone bruise
Muscle bruise
Muscle bruise
Skin bruise
Skin bruise
Bruise healing - series
Bruise healing - series

Alternative Names:

Contusion; Hematoma

Definition:

A bruise is an area of skin discoloration. A bruise occurs when small blood vessels break and leak their contents into the soft tissue beneath the skin.

Considerations:

There are three types of bruises:

  1. Subcutaneous -- beneath the skin,
  2. Intramuscular -- within the belly of the underlying muscle
  3. Periosteal -- bone bruise

Bruises can last from days to months, with the bone bruise being the most severe and painful.

Causes:

Bruises are often caused by falls, sports injuries, car accidents, or blows received by other people or objects.

If you take a blood thinner, like aspirin or warfarin (Coumadin), you are likely to bruise more easily.

Symptoms:

The main symptoms are pain, swelling, and skin discoloration. The bruise begins as a pinkish red color that can be very tender to touch. It is often difficult to use the muscle that has been bruised. For example, a deep thigh bruise is painful when you walk or run.

Eventually, the bruise changes to a bluish color, then greenish-yellow, and finally returns to the normal skin color as it heals.


Review Date: 5/17/2007
Reviewed By: Benjamin W. Van Voorhees, MD, MPH, Assistant Professor of Medicine, Pediatrics and Psychiatry, The University of Chicago, Chicago, IL. Review provided by VeriMed Healthcare Network.

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