<s>[INST] my 8 year old daughter fell off her bed and her shin has a very large bump on it.  She has stopped crying but says that is still hurting very much.  She wont stand on it.  And when i was feeling around her leg she says pressure starts hurting about an inch and a half away from the bump.  also the bruise appears to be almost grey...  any advice? [/INST] Welcome to the ChatDoctorI have gone through your question, and it seems that your daughter has suffered a severe musculoskeletal injury most likely a fracture. You should immediately take her to an orthopedic surgeon for proper clinical examination and management accordingly. They may advise you for the X-Ray leg to look for injury or fracture. I would recommend you to splint the part by a board to help in transportation to hospital. You may give her acetaminophen or ibuprofen tablet for pain relief. Hopefully this will help you. I would be happy to help you out in any future health related questions. Take care </s>