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
Smoking is associated with an increased risk of fractures because it can negatively impact bone health, reduce bone density, and impair bone healing.
a. Adequate calcium intake: Adequate calcium intake is essential for maintaining strong bones and reducing the risk of fractures, so it is not associated with an increased risk.
b. Regular weight-bearing exercise: Regular weight-bearing exercise helps improve bone density and reduces fracture risk, so it is not associated with an increased risk.
d. Maintaining a healthy body weight: Maintaining a healthy body weight is beneficial for overall health, but it is not specifically associated with an increased risk of fractures.
Correct Answer is C
Explanation
An open fracture, also known as a compound fracture, occurs when the bone breaks and penetrates the skin, exposing the fracture site to the external environment. It carries an increased risk of infection and requires immediate medical attention.
a. Closed fracture: A closed fracture is a type of fracture where the bone breaks but does not penetrate the skin, keeping the fracture site enclosed.
b. Greenstick fracture: A greenstick fracture is an incomplete fracture seen in children, where the bone bends and partially breaks on one side but remains intact on the other side.
d. Stress fracture: A stress fracture is a small crack or incomplete break in the bone, often caused by repetitive stress and overuse.
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