Authors
Dr. Ankit Mittal, Dr. Yogesh Kumar, Dr. Gaurav Sharma, Dr. Anil Grag
Abstract
A hematoma, which is externally visible as a bruise, is characterized by localized bleeding and discoloration of the skin. It occurs due to bleeding from a vascular structure. Similar to other types of bleeding, the cause can be related to bleeding tendencies, anticoagulation, or vessel injury. Vascular injury may result from external abdominal trauma or surgical procedures (iatrogenic). Hematomas represent significant bleeding events within deep soft tissues, often triggered by minimal trauma. Initially, they appear as painful swelling lesions, which can be mistaken for severe infectious conditions like cellulitis or necrotizing fasciitis. Sepsis, also known as septicemia, is the body’s extreme response to infection. It occurs when germs (such as bacteria, viruses, or fungi) enter the bloodstream, leading to blood poisoning. Sepsis can cause septic shock and organ failure, with a potentially fatal outcome in up to half of cases. Immediate medical attention is crucial. If left untreated, sepsis can rapidly damage tissues, impair organ function, and result in death. In a unique case encountered in the mortuary, distinguishing between hematoma and sepsis becomes challenging based on the available information. Keywords: Hematoma, Bruise, Trauma, Sepsis, Death.
Introduction
Mechanical injury is the term used to describe harm to the body resulting from mechanical forces, which can lead to tissue loss and is commonly known as a wound. This type of injury can be categorized into two primary forms: blunt force and sharp force. Additionally, there are injuries caused by non-mechanical forces, including thermal, chemical, electrical, and electromagnetic sources. Blunt-force trauma is a type of injury that occurs without the involvement of cutting instruments and can result from various forces such as impacts, pulling, twisting, or shearing (Sharma, 2005) Bruises are skin discolorations that occur when blood leaks into the underlying tissues from injured small blood vessels, typically veins and arterioles. The term 'bruising' is specifically used to describe external marks visible on the skin due to blood leakage into the skin and subcutaneous tissues, whereas 'contusion' refers to blood leakage into tissues within body cavities. A 'hematoma' is a term for a collection of blood under the skin that can be felt. Petechiae are tiny bruises, often described as pin-point hemorrhages, and are typically less than 2 mm in size. The term 'ecchymosis' refers to the accumulation of blood in subcutaneous tissues (Payne-James et al., 2014). Wound infection occurs when microorganisms invade and disrupt healthy tissue, triggering an inflammatory response from the host. This interference impedes the healing process. While the inflammatory mechanisms in both acute and chronic wound infections are similar, the key difference lies in the control of the inflammation: in acute wound infections, the host manages the inflammation, whereas in chronic wound infections, the inflammation is driven by the microorganisms (Hurlow and Bowler, 2022) If a wound is not properly cleaned and covered, it can become an entry point for bacteria, viruses, or fungi, leading to infection. Sepsis occurs when the body responds to an infection by releasing chemicals into the bloodstream, which can result in organ failure and death. The most effective way to prevent sepsis is by preventing infections in the first place. Sepsis is a condition that can vary in severity from mild symptoms to severe organ dysfunction and shock. The manifestations of sepsis are determined by factors such as the pathogen's virulence, the point of entry into the body, the host's susceptibility and immune response, and the progression of the condition over time (Lever and Mackenzie, 2007).
References
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How to cite this article?
APA Style | Mittal, Dr. A., et al. (2024). A Case Of Deep Dissection: Bruise Vs Sepsis. Academic Journal of Anthropological Studies, 07(02), 14–17. |
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