Easy bruising presents several investigative dilemmas in primary and secondary practice, not least because it raises the spectre of physical abuse. When, and to what extent, should general paediatricians investigate before referral to a specialist? When can it be safely concluded that an underlying bleeding disorder has been excluded, so that further investigations can focus on ruling out suspe...

Bicycle spoke injury is the most common cycling-related injury. It is due to foot entrapment in the spokes of the bicycle's rotating wheel, resulting in a variety of injuries. It may include soft tissue injuries as well as fractures of the tibia, fibula or foot bones. There is no universally accepted classification for such injuries. Soft tissue damage is the most important prognostic factor in...

This study examines the affect regulation function of different types of nonsuicidal self-injury (NSSI) in 177 female eating-disordered inpatients. Almost 45% of the eating-disordered patients displayed at least 1 type of NSSI. Cutting and scratching were the most common forms of NSSI followed by bruising and burning oneself. For all types of NSSI except bruising, the affect regulation function...

Bruising or bleeding in a child can raise the concern for child abuse. Assessing whether the findings are the result of trauma and/or whether the child has a bleeding disorder is critical. Many bleeding disorders are rare, and not every child with bruising/bleeding concerning for abuse requires an evaluation for bleeding disorders. In some instances, however, bleeding disorders can present in a...

The term bone bruise, in modern medicine, is still a relatively young one, which followed the advent of MRI. Resolution takes between 12 and 24 weeks, however clinical significance is unknown. We present the case of an 18-year-old male who developed bone bruising of his lateral femoral condyle, associated with meniscal injury and anterior cruciate ligament rupture, following a fall from a push ...

Bruising or bleeding in a child can raise the concern for child abuse. Assessing whether the findings are the result of trauma and/or whether the child has a bleeding disorder is critical. Many bleeding disorders are rare, and not every child with bruising/bleeding concerning for abuse requires an evaluation for bleeding disorders. In some instances, however, bleeding disorders can present in a...

OBJECTIVE To report a case of severe abdominal bruising successfully diagnosed using systematic hemostatic investigations. CLINICAL PRESENTATION AND INTERVENTION A 60-year-old woman developed a large spontaneous nontraumatic, painless bruise over the right lower abdominal wall. Computed tomographic scan of the abdomen showed a subcutaneous hematoma beneath the site of the obvious bruise diagn...

Minor injuries in children (those that could reasonably be expected to heal with minimal medical intervention) are extremely common. The possibility of more serious injuries should be considered and excluded early. Successful examination requires gaining the child's trust, relieving pain early, and using a flexible and creative examination technique. Bruising may suggest a more serious underlyi...