Vital Signs Volume 8, Issue 1 | Page 5

Keeping Our Children Safe Bruising: The Most Overlooked Sign of Abuse Children – 4 Years and Younger Any bruising of the torso, ears or neck can be a significant sign of abuse and must be immediately investigated.* *In toddlers and older children, normal bruises are typically on the front of the body and over bony prominences like the forehead, elbows, knees and shins. Infants – 4 Months and Younger Any bruising anywhere can be a significant sign of abuse and must be immediately investigated. Fact: Bruises can be small and subtle. Myth: Bruising from abuse is obvious and matches the size of an adult hand. Local Domestic Violence Resources The Domestic Violence Intake Center in Lou