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 A
Explanation
In severe cases of diabetic neuropathy, where peripheral nerve damage leads to non-healing ulcers, infections, and gangrene, amputation may be considered as a lifesaving measure. Removing the affected limb can prevent the spread of infection and potentially save the patient's life.
b. Chronic obstructive pulmonary disease (COPD): COPD is a chronic respiratory condition that primarily affects the lungs. It is not an indication for amputation.
c. Bone fracture with non-union: A bone fracture with non-union refers to a fracture that fails to heal properly. While it may require surgical intervention, it does not typically lead to amputation unless there are severe complications.
d. Malignant bone tumor: Malignant bone tumors may require surgical resection, but amputation is usually a last resort and only considered when the tumor cannot be safely removed through other means.
Correct Answer is D
Explanation
The primary goal of surgical amputation is to remove the diseased or damaged tissue to promote healing and prevent the spread of infection. While pain relief and restoration of function are important considerations, the main purpose of amputation is to address the underlying condition and improve the patient's overall health and well-being.
a. To eliminate all pain and discomfort in the affected limb: While pain relief is a desired outcome of amputation, it is not always possible to eliminate all pain and discomfort. The goal is to manage pain effectively and improve the patient's quality of life.
b. To restore full function and mobility of the limb: Restoring full function and mobility may not always be achievable after amputation. The extent of functional restoration depends on various factors, including the level of amputation and the patient's overall health.
c. To achieve the most cosmetically appealing result: While achieving a cosmetically appealing result may be important for some patients, it is not the primary goal of amputation. The focus is on medical necessity and addressing the underlying condition.
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