TEN-4-FACESp is a bruising clinical decision rule developed and validated by Dr. Mary Clyde Pierce and colleagues. 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 T orso, E ars, N eck, F renulum, A ngle of the jaw, C heeks, E yelids or S ubconjunctivae, “4” represents infants 4 months and younger with any bruise, anywhere, and “p”