What condition might lead to the need for an emergency amputation to save a patient's life?
Acute appendicitis
Acute compartment syndrome
Urinary tract infection
Minor laceration
The Correct Answer is B
Acute compartment syndrome is a medical emergency where increased pressure within a muscle compartment compromises blood flow and can lead to tissue damage and permanent disability. In severe cases, where the condition is not relieved promptly, emergency amputation may be necessary to prevent further tissue damage and save the patient's life.
a. Acute appendicitis: Acute appendicitis is a condition involving inflammation of the appendix and typically requires surgical removal of the appendix (appendectomy) but not amputation.
c. Urinary tract infection: A urinary tract infection is a common infection that is not an indication for amputation. It is usually treated with antibiotics.
d. Minor laceration: A minor laceration does not require amputation. It can typically be treated with wound care and, if needed, sutures or adhesive strips.
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Related Questions
Correct Answer is C
Explanation
Circulation assessment of the affected limb is essential for a patient scheduled for amputation. This assessment helps identify any vascular issues or compromised blood flow to the limb, which can impact wound healing and increase the risk of post-operative complications. It is crucial to assess circulation to ensure the patient's safety during and after the amputation procedure.
a. Blood pressure measurement: While blood pressure measurement is a routine assessment, it is not specific to amputation and not directly related to preventing pre-operative complications.
b. Assessment of respiratory rate: Respiratory rate assessment is important for general health assessment, but it is not directly related to preventing complications specifically related to amputation.
d. Height and weight measurement: Height and weight measurement are important for general health assessment, but they are not directly related to preventing complications specifically related to amputation.
Correct Answer is A
Explanation
The primary purpose of positioning the residual limb in a flexed position after a below-the-knee amputation is to prevent contractures. Contractures are abnormal shortening and tightening of muscles and tendons, leading to restricted joint movement. Maintaining the limb in a flexed position helps prevent contractures and ensures optimal prosthetic fitting and functional outcomes.
b. To promote venous return: While positioning the limb in a flexed position may have some impact on venous return, it is not the primary purpose of this positioning. Elevating the limb on a pillow is more effective for promoting venous return.
c. To reduce edema: Keeping the residual limb elevated on a pillow is the preferred method for reducing edema in the immediate post-operative period, not positioning it in a flexed position.
d. To facilitate wound healing: Facilitating wound healing is not the primary purpose of positioning the residual limb in a flexed position. Proper wound care, dressing changes, and monitoring for signs of infection are essential for wound healing.
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