Internal Bleeding Signs include which of the following?

• A. Bright red arterial spurting
• B. No signs
• C. Bruising, distension, hypotension, tachycardia, altered LOC
• D. External bleeding only

Answer: (C)

Internal bleeding shows up through a mix of local injury signs and systemic responses to blood loss. Bruising or ecchymosis reflects blood that has escaped from vessels and collected in tissues. If bleeding is into the abdomen or other body cavities, distension can occur as blood accumulates and stretches the area. Systemically, losing blood lowers the circulating volume, so the body responds with a faster heart rate (tachycardia) and, if the loss continues, falling blood pressure (hypotension). As perfusion to the brain diminishes, mental status can change, leading to an altered level of consciousness.

That combination—bruising, distension, hypotension, tachycardia, and altered LOC—captures the typical presentation of internal bleeding. In contrast, bright red arterial spurting describes external arterial bleeding, not internal. And “no signs” or “external bleeding only” don’t fit because internal bleeding by definition involves signs of both local injury and shock.