Page 1 of 3: Ortho - Compartment Syndrome Doubt

med_00 · Credits: 3596 My Scrapbook

2.A A PATIENT DEVELOPS COMPARTMENT SYNDROME(SWElLING,PAIN,NUMBNESS) FOLLOWING MANIPULATION & PLASTER FOR FRACTURE OF BOTH BONES OF LEG.WHAT IS THE BEST TREATMENT?
A.SPLIT THE PLASTER
B.OPERATIVE DECOMPRESSION OF FASCIAL COMPARTMENTS
C.ELEVATE THE LEG.
D.INFUSION OF LMW DEXTRAN.

BRAVO · Credits: 45660 My Scrapbook

B.OPERATIVE DECOMPRESSION OF FASCIAL COMPARTMENTS

bdb · Credits: 2227 My Scrapbook

Dear med_00

BRAVO · Credits: 45660 My Scrapbook

WHATS THE ANS GIVEN MED_00

bdb · Credits: 2227 My Scrapbook

Dear Bravo,

AS the question mentions that the patient has laready develooped Comparment Syndrome, the answer no doubt is as you say Operative Decompression of the Fascial Comaprtments.

BDB

med_00 · Credits: 3596 My Scrapbook

ans given was elevate the leg,so i was confused???

bdb · Credits: 2227 My Scrapbook

Dear med_00,

I know that the confusion is always about the answers and thats the reason why I provided an explanation for each of the options.

Now I hope the answer is clear.

BDB

med_00 · Credits: 3596 My Scrapbook

ya,thanx a lot

bdb · Credits: 2227 My Scrapbook

You are welcome.

BDB

orth · Credits: 115 My Scrapbook

if you think at the SHO or medical officer level your job is to split the plaster, but the idea here is to elicit the best work that you cando at your level at that point of time- clearly it is the plaster splitting or removal.of course the ideal way to treat a compartment syndrome is to recognize it first. and the prompt action should be emergency decompression of the facial compartments which should save the leg of the patient. but this requires an expert help. hence i feel splitting the plaster is the best answer at sho level and inform the orthopaedic surgeon and to post the case for emergency decompression

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