Which of the following is NOT listed as a sign of strangulation?

• A. Neck swelling
• B. Facial drooping
• C. Nausea/vomiting
• D. Voice changes

Answer: (B)

Strangulation produces signs tied to reduced blood flow and irritation of the airway, not to neurological nerve issues. Neck swelling appears because venous congestion in the head and neck occurs from the pressure. Voice changes come from trauma or swelling of the larynx, affecting how a person sounds or speaks. Nausea or vomiting can follow from vagal stimulation and the body’s stress response to the compression. Facial drooping, on the other hand, isn’t a typical reaction to strangulation and would more often suggest a neurological event such as a facial nerve issue or stroke. So facial drooping isn’t listed as a sign of strangulation, whereas neck swelling, voice changes, and nausea/vomiting are consistent indicators.