**Core Concept:** The appearance of a bruise depends on the stage of coagulation process and the duration since the injury occurred. Various stages of a bruise can be categorized as:
1. Initial stage: Reddish-purple color due to the presence of deoxygenated blood and hemoglobin.
2. Progressing stage: The color changes to bluish-bluish-green due to the formation of oxyhemoglobin.
3. Stable stage: The greenish-yellow color indicates the disappearance of oxyhemoglobin and the presence of deoxyhemoglobin.
4. Declining stage: The color changes to brownish-yellow, followed by yellowish, and eventually resolves as the blood components are cleared by the liver and white blood cells.
**Why the Correct Answer is Right:** The greenish color of the bruise indicates that it is in the stable stage where the presence of oxyhemoglobin has been replaced by deoxyhemoglobin. The correct answer is D, "3-5 days," because it roughly corresponds to the time it takes for the bruise to transition from the greenish stage to the declining stage.
**Why Each Wrong Option is Incorrect:**
A. 2-4 days: This is too short for the bruise to be greenish in color.
B. 6-7 days: Bruises typically fade from greenish to yellowish or brownish-yellow before becoming green, indicating an older bruise.
C. 8 days: The bruise is likely to have reached the yellowish stage and not the stable stage characterized by greenish color.
**Clinical Pearl:** The age estimation of a bruise can assist in determining the cause or severity of an injury, guiding treatment, and assessing the patient's condition. A greenish bruise may indicate a more severe injury or unusual circumstances (e.g., drug-induced bleeding disorders). Understanding the color changes of a bruise can aid in clinical decision-making and patient management.
Free Medical MCQs Β· NEET PG Β· USMLE Β· AIIMS
Access thousands of free MCQs, ebooks and daily exams.
By signing in you agree to our Privacy Policy.