If there isn't bruising present immediately, there is no injury present.

• A. Not sure
• B. True
• C. Sometimes
• D. False

Answer: (D)

Bruising is not a reliable early indicator of injury. Not all injuries produce immediate visible bruising, and bruising can take hours to days to appear as blood leaks from damaged vessels into surrounding tissues. You can have a sprain, strain, ligament tear, fracture, or internal injury with swelling, pain, or reduced function even when there’s no bruise right away. Factors like the depth of the injury, skin and tissue thickness, and medications or conditions that affect clotting can influence whether bruising shows up promptly. So, the absence of a bruise immediately after an event does not mean there is no injury.