Dating bruises in the elderly

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Nevertheless, it should be appreciated that the extent of bruising will depend on several other factors other than force.These include site of injury (whether over bone or soft tissue), type of agent used, and factors intrinsic to the victim.The accurate interpretation of bruising at necropsy is essential to understanding how a victim has been injured and assists the pathologist in a reliable reconstruction of the events leading to death.It is essential not only to assess the mechanism of production of a bruise, taking into account the type of impacting surface and the magnitude of force used, but also to estimate when the injury was caused.

Although bruising is most often thought of as an extravasation of blood intradermally or subcutaneously, bruises can occur almost anywhere in the body.A bruise should not be examined in isolation because on many occasions, particularly with shoe marks or blunt trauma from sticks, iron objects, belts and so on, there may be an accompanying characteristic abrasion or laceration.The size, intensity, and accompanying lacerations or abrasions will be useful pointers in assessing the force of an impact.Thus, they can provide much information with regard to their causation and can assist with the reconstruction of events leading to death.Furthermore, when an injury is inflicted and blood extravasates from injured blood vessels the resultant bruising may be: The word bruise is often used synonymously with the term haematoma and ecchymosis (or ecchymoma).

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