Could bump on shoulder indicate internal bleeding?
Patient: I m on pradaxa and I was horse playing with my girl and she threw a cup at me which hit me in the front of my shoulder around where the clavicle meets the upper arm. it is very painful but there is a large bump that has formed. I know that I ve been warned about a head injury but should i be alarmed that this could be a serious injury like internal bleed. Doctor: Hello,  It could be a contusion only. You can go for an ultrasound to confirm the diagnosis.  Hope I have answered your query. Let me know if I can assist you further.  Regards, Dr. Shinas Hussain, General & Family Physician