What does "raccoon eyes" signify during a facial assessment?

"Raccoon eyes" is a term used to describe the appearance of dark circles around the eyes, resembling the markings of a raccoon. This condition typically indicates the presence of underlying trauma, specifically internal bleeding. When there is a fracture in the base of the skull, for instance, it can lead to bleeding that pools around the eyes, resulting in this distinct bruising pattern.

The phenomenon signifies that there may be significant injuries in the cranial area that necessitate immediate medical attention. This condition serves as an external indicator of more serious internal issues, which is why recognizing "raccoon eyes" is critical for lifeguards and emergency responders. It alerts them to assess for potential head injuries and monitor for other signs of trauma.

Other options may involve different conditions related to facial injuries or neurological issues, but "raccoon eyes" specifically points to the likelihood of internal bleeding due to cranial injuries.