My daughter has a severe bruise on her calf and it has a real hard lump  in the middle of it and it has bruised all the way down her leg to her foot and the bruising is dark purple? Could you please tell me if I should be concerned about this or what we should do about this?
Hi. Thanks for your query. This looks to be post-traumatic, meaning after a trauma. Dark purple bruise with a lump is suggestive of a hematoma. It is possible that she does not remember how it occurred as it would have been mild Because of the typical fat distribution in this area, it was not noticed easily. If this is bruise, the treatment is conservative. Anti-inflammatory medicines would help if given in a proper dosages. IF it is not painful, if the local temperature is not raised you can have a wait and watch policy. Keep it under observation and will settle in one to 3 seeks time. If you are suspicious of an infection, you have to start her on an antibiotic and anti-inflammatory medicines. Yes, you should be concerned about this.