The History, Epidemiology and Physical Examination of a Contusion


Contusions can occur anywhere on the body, but they primarily occur on the elbows, knees, fingers, toes, and skull. In this blog post we will explore the history of contusions and discuss the features associated with a contusion versus other injuries. We will then consider the most common types of contusions that can result in hospital admission.

What is a contusion?

Contusions are bumps and bruises that typically result from blunt force, like when someone falls or is thrown to the ground.
Contusions can be small and occur just above the skin or they can be larger and mark the surface of the body. What are the signs and symptoms of a contusion?
The most common symptoms of a contusion include pain, redness, swelling, bruising, and bleeding. Occasionally, people may experience decreased range of motion or tenderness. More severe contusions may also cause severe bruising and swelling that can affect different parts of the body. In some cases, contusions can even lead to injuries such as fractures.

How does one treat a contusion?

Treatment for a contusion depends on its severity. Milder contusions may only require rest and ice packs while more serious contusions may require antibiotics or other medical treatments.

Types of contusions

Contusions can be classified in a few broad ways:

– Fall on the face

– Fell down stairs

– 40 year old female falls out of chair while playing mah jong

– Child suffers general fall from climbing tree.

Contusions can also be classified by location: head, neck, chest, abdomen, extremities. Finally, contusions can be further classified by the mechanism of injury: direct contact with something sharp or blunt, as in a fall from a height; contact with hot object such as a stovetop; being hit in the head by an objet; repetitive blows to the head.

Characteristics of contusions

Contusions are common injuries, which can be caused by a fall, direct hit or punch, contact with an object like a door handle, or hitting your head on a hard surface. They can be classified according to the area of the body injured: one common classification is by anatomic location (e.g. head contusions, hand contusions).

Contusions are classified as open or closed based on whether there is visible bleeding. Closed contusions may form a hematoma (collection of blood) that will require surgical removal. Open contusions may also form hematoma but less commonly require surgery. In either case, full medical attention should be given as any visible sign of infection may increase the risk for serious complications such as meningitis.

There are five main risk factors for developing a contusion: fall from height, blunt objects impacting the head/face, contact sports such as football and hockey, vehicular accidents with victims trapped under cars or trucks, and manufacturing accidents such as explosions and machine Rumble Motion (also known as work-related accidents).

Contusions share some common physical examination findings including erythema (redness or swelling), tenderness to palp

History and physical examination of a contusion

A contusion is an injury that results from blunt force trauma. It is a type of traumatic injury characterized by the presence of blood in the tissues beneath the skin. A contusion can occur spontaneously or as a result of an accident or fight. A contusion can vary in size and shape, and can take on several different colors, depending on the amount of blood present.

Contusions most commonly occur on the head and neck, as a result of contact with objects like hair or skin. Other areas that are commonly affected include the chest, arms, and legs. Injuries that cause contusions typically cause moderate to severe pain, and may result in swelling, inflammation, and discoloration.

The physical examination of a contusion is designed to determine the extent and severity of the injury. The doctor will look for signs of bleeding, infection, or other structural damage. Additionally, the doctor will assess the patient’s level of pain and swelling, and determine whether any protective measures need to be taken (such as antibiotics).

Causes and risk factors

The history, epidemiology and physical examination of a contusion can help identify the cause and risk factors for this common injury.

A contusion is an accumulation of blood or other fluid within the tissues of the body. Contusions are most commonly caused by falls or blows to the head and can result in swelling, pain, and may require treatment. Conditions that increase your risk of developing a contusion include being elderly, having a craniofacial deformity, being overweight, and having a head injury.

Contusions can occur on any part of the body but are most commonly found on the head, neck, shoulder, elbow, hand, feet, or buttocks. Contusions can also occur as a complication from surgery or during childbirth.

The cause of most contusions is unknown but factors that may increase your risk include falling from a height, being struck by a object, or injuring oneself in a fall. Factors that may aggravate a contusion include fever, seizures, alcohol use, prolonged exposure to the sun or cold weather conditions.

Most contusions heal within a few days without treatment but depending on their location and severity may require surgical intervention such as inserting a

Prevalence, signs, symptoms and treatment

The history, epidemiology and physical examination of a contusion are key components in diagnosing and managing a contusion. In this blog section, we will discuss the prevalence, signs, symptoms and treatment of contusions.

Prevalence: Contusions are common injuries that can occur in many sports and recreational activities. They are also common after falls or collisions. The prevalence of contusions can be estimated by using injury statistics or surveys. A survey of high school students found that approximately 10% of students had ever sustained a contusion. This figure rises to 20% when looking at students who participate in contact sports (Hoffman et al., 2003). Contusions are more common in males than females and young adults than older adults (Hoffman et al., 2003).

Signs and Symptoms: The most common sign of a contusion is pain. Pain may be localized or generalized. Other signs and symptoms may include redness, swelling, warmth, tenderness, discoloration, pain upon movement and blurred vision (Hoffman et al., 2003). The physical examination may reveal evidence of a concussion, such as decreased consciousness, amnesia, vomiting or headache. If there is neurologic


The history, epidemiology, and physical examination of a contusion can vary greatly depending on the severity of the contusion. A small contusion will likely result in only mild pain, while a more significant contusion may involve significant pain and swelling. Additionally, contusions can be distinguished from other injuries based on their location: a contusion located on the head or neck is more serious than one located on the lower extremity.


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