TEN-4-FACESp Child Abuse Screening Tool
- Infographic & 3 minute video
Cognitive skills are the core skills your brain uses to think and reason. Examples of these include use of the Pediatric Assessment Triangle (PAT) and interpretation of physical exam findings of acutely ill and injured children.
Last updated: January 6, 2026
If you have content to add to the Toolkit, please email the PPRP team.
TEN-4-FACESp is a useful acronym to help screen children under 4 years of age with bruising to identify when a bruise is more likely to be caused by abuse than accidental injury. TEN-4-FACESp stands for bruising to the Torso, Ears, Neck, Frenulum, Angle of the jaw, Cheeks, Eyelids or Subconjunctivae, “4” represents infants 4 months and younger with any bruise, anywhere, and “p” represents the presence of patterned bruising.