Which of the following conditions may require amputation to prevent the spread of infection and tissue damage?
Severe joint pain
Chronic osteoporosis
Acute osteomyelitis
Muscle strain
The Correct Answer is C
Acute osteomyelitis is a severe bacterial infection of the bone that can lead to tissue damage and the spread of infection if not promptly treated. In some cases, when antibiotic therapy is not effective or the infection is severe, amputation may be considered to remove the infected bone and prevent further complications.
a. Severe joint pain: Severe joint pain may be caused by various conditions, but it is not an indication for amputation. Treatment for joint pain involves identifying and managing the underlying cause.
b. Chronic osteoporosis: Osteoporosis is a condition characterized by weakened bones, but it does not typically lead to amputation. Treatment for osteoporosis focuses on preventing fractures and improving bone density through medication and lifestyle modifications.
d. Muscle strain: Muscle strains are common injuries that do not require amputation. They can usually be managed with rest, ice, compression, and elevation (RICE) and physical therapy.
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Related Questions
Correct Answer is A
Explanation
Increased swelling and bruising of the residual limb after a below-the-knee amputation may indicate a possible complication such as hematoma formation or poor wound healing. It requires further assessment and intervention by the healthcare team.
b. Mild tenderness and discomfort at the surgical site: Mild tenderness and discomfort are common after surgery and may be expected in the post-operative period. As long as the pain is manageable and not worsening, it is not necessarily an indication of a significant complication.
c. Gradual decrease in phantom limb pain over time: Phantom limb pain may gradually decrease over time as the nerve endings adapt to the amputation, and the brain's perception of the missing limb changes. This finding is a normal part of the post-amputation process and is not typically a complication.
d. Resumption of normal daily activities with a prosthetic limb: Resuming normal daily activities with a prosthetic limb is a positive outcome and a sign of successful rehabilitation and adaptation to the prosthesis. It is not indicative of a complication.
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.
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