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
A spiral fracture occurs due to twisting or rotational forces on the bone, resulting in a twisting break along the bone's length.
a. Greenstick fracture: A greenstick fracture involves the bone bending and partially breaking, usually seen in children. It is not caused by twisting forces.
b. Transverse fracture: A transverse fracture occurs when the bone breaks straight across its long axis, not due to twisting.
d. Comminuted fracture: In a comminuted fracture, the bone breaks into multiple pieces, which is not associated with twisting forces.
Correct Answer is B
Explanation
A transverse fracture occurs when the bone is completely broken into two separate pieces at a right angle to the bone's long axis.
a. Greenstick fracture: A greenstick fracture is an incomplete fracture where the bone bends and partially breaks, but it does not result in two separate pieces of bone.
c. Impacted fracture: An impacted fracture occurs when the bone ends are forced into each other, commonly seen in long bones such as the femur. It does not involve the bone breaking into two separate pieces.
d. Spiral fracture: A spiral fracture occurs when the bone is twisted, resulting in a spiral-shaped fracture line. It does not involve the bone breaking into two separate pieces.
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