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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Could Bruises On Face Post A Fall Suggest?

Walking in the dark in a hotel room, I tripped over a bag on the floor and fell face first (right side) onto the top edge of the dresser. It did not cause any dizziness or unconsciousness. Over the next week, I developed bruising on the lower portion of my face. I assume gravity was pulling blood down to that location. I did develop a lump below the right cheekbone, about 1 inch from my nose and about 1 long, 1/4 to possibly 1/2 thickness. It has been 2 1/2 weeks and doesn t seem to be changing. Is this something I should have checked out by my doctor or might it clear up on its own over time?
Mon, 11 May 2015
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General & Family Physician,  's  Response
Hello
As per the description of your clinical symptoms it seems that you have developed a bruise due to the traumatic injury. The injury has caused extravasation of blood into the injured area, but as a rule of gravity the blood collects in the dependent part. This in turn gives a bluish discoloration to the area. Any swelling at the site with bluish discoloration may signify a hematoma.
Management would have been ice compression initial followed by local application of some thrombolytic gel ( Thrombophob gel )
Bruise is usually self limiting and resolves automatically, but a hematoma if complicated ( large size, infected or formed abscess ) may need surgical intervention.
Please consult your doctor for further evaluation and management.

Thank you.
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What Could Bruises On Face Post A Fall Suggest?

Hello As per the description of your clinical symptoms it seems that you have developed a bruise due to the traumatic injury. The injury has caused extravasation of blood into the injured area, but as a rule of gravity the blood collects in the dependent part. This in turn gives a bluish discoloration to the area. Any swelling at the site with bluish discoloration may signify a hematoma. Management would have been ice compression initial followed by local application of some thrombolytic gel ( Thrombophob gel ) Bruise is usually self limiting and resolves automatically, but a hematoma if complicated ( large size, infected or formed abscess ) may need surgical intervention. Please consult your doctor for further evaluation and management. Thank you.