Which item is NOT a sign of strangulation?

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Multiple Choice

Which item is NOT a sign of strangulation?

Strangulation compresses neck structures and causes signs tied to impaired blood flow and airway irritation. Red eyes come from conjunctival hemorrhages due to increased venous pressure. Voice changes arise from edema or injury to the larynx and vocal cords. Neck swelling happens from venous congestion in the neck tissues. Headache, while possible in some situations, is not a specific or reliable sign of strangulation and doesn’t indicate the condition on its own. So, headache is not a sign of strangulation, whereas the other signs listed reflect the effects of neck compression and airway involvement.

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