Bruising

Bruising

Bruising	Bruising is usually due to trauma and investigation should only be considered if the degree of bruising is disproportionate to the trauma. Exclude use of aspirin, other NSAID. FBC ; further investigation is unlikely to be productive if there is no other personal or family history suggestive of a bleeding disorder.
Unrecognised trauma esp Child abuse
Simple easy bruising	Easy bruising is common, particularly in females.
Skin “fragility”	Clinical diagnosis.
Elderly patients Solar skin exposure	Easy and extensive superficial bruising (“senile purpura”) is common in the elderly and in those who have experienced prolonged, excessive solar exposure - investigation is inappropriate.
Cushings syndrome incl
Corticosteroid therapy
Scurvy
Bleeding disorder	See Bleeding .