Which clinical manifestation is concerning for compartment syndrome in a patient with a fracture?
Bruising and discoloration at the fracture site
Mild pain and swelling in the affected limb
Prolonged capillary refill distal to the fracture
Severe pain, pallor, and loss of pulses distal to the fracture
The Correct Answer is D
Severe pain, pallor (pale skin color), and loss of pulses distal to the fracture are concerning signs of compartment syndrome, a serious complication that requires immediate medical intervention.
a. Bruising and discoloration at the fracture site: Bruising and discoloration are common signs of inflammation and injury at the fracture site but are not specific to compartment syndrome.
b. Mild pain and swelling in the affected limb: Mild pain and swelling are expected with a fracture but do not raise immediate concerns for compartment syndrome.
c. Prolonged capillary refill distal to the fracture: Prolonged capillary refill time may indicate reduced blood flow but is not as concerning as the combination of severe pain, pallor, and loss of pulses seen in compartment syndrome.
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Related Questions
Correct Answer is C
Explanation
In a greenstick fracture, the bone bends and partially breaks, usually occurring in children due to the flexibility of their bones.
a. Transverse fracture: A transverse fracture occurs when the bone breaks straight across its long axis, not bending.
b. Oblique fracture: An oblique fracture involves a diagonal break, not bending and partial breaking.
d. Avulsion fracture: An avulsion fracture occurs when a piece of bone is torn away by a ligament or tendon, not bending and partial breaking.
Correct Answer is A
Explanation
A greenstick fracture involves the bone bending and partially breaking, with one side of the bone being broken and the other side bent.
b. Transverse fracture: A transverse fracture occurs when the bone breaks straight across its long axis, not involving bending.
c. Oblique fracture: An oblique fracture involves a diagonal break, not breaking on one side and bending on the other.
d. Stress fracture: A stress fracture occurs due to repetitive stress on the bone, not involving one side breaking and the other side bending.
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