Which finding may indicate internal bleeding over vital organs?

Bruising and tenderness are significant findings that may indicate internal bleeding over vital organs. When internal bleeding occurs, it often leads to the accumulation of blood outside of blood vessels, which can cause discoloration of the skin, known as bruising. This bruising can be localized, especially if it is over an area where an organ is injured.

Tenderness in the area can also suggest that there is underlying damage or irritation to internal structures, potentially due to the blood pooling in those regions. These symptoms can be particularly concerning in the context of trauma where vital organs may have been impacted, as they are indicators that something may be wrong internally and require further medical assessment.

In contrast, palpable veins, increased muscle tone, and normal skin temperature do not directly suggest internal injuries or bleeding. Palpable veins may be indicative of various conditions, increased muscle tone might relate to neurological or muscular issues, and normal skin temperature typically suggests stable circulatory function, countering the likelihood of significant internal bleeding.