Which complication of fractures is characterized by pain, warmth, redness, and swelling at the site?
Infection
Compartment syndrome
Delayed union
Osteomyelitis
The Correct Answer is A
Infection is a complication of fractures that can occur when bacteria enter the body through an open wound or during surgery. It presents with pain, warmth, redness, and swelling at the site.
b. Compartment syndrome: Compartment syndrome is characterized by severe pain, pallor, and loss of pulses distal to the fracture site, not warmth and redness.
c. Delayed union: Delayed union refers to a fracture that takes longer than usual to heal, and it does not typically present with warmth and redness.
d. Osteomyelitis: Osteomyelitis is a bone infection that can develop as a complication of fractures, but it does not typically present with warmth and redness at the site.
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Correct Answer is C
Explanation
X-ray (radiography) is the most common imaging modality used to diagnose fractures in the emergency department. X-rays can visualize the bone's structure and detect fractures, bone displacement, or other abnormalities.
a. Magnetic Resonance Imaging (MRI): MRI is useful for soft tissue evaluation but is not routinely used for initial fracture diagnosis in the emergency department.
b. Computed Tomography (CT): CT scans provide detailed cross-sectional images of bones and soft tissues, but they are not typically the first-line imaging for initial fracture assessment in the emergency department.
d. Ultrasound: Ultrasound is useful for certain soft tissue evaluations but is not commonly used for diagnosing fractures.
Correct Answer is D
Explanation
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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