A 65-year-old man comes to the ER with sudden severe constant right lower limb pain at the calf muscles for 2 hours. His past medical history is positive for smoking and T2DM on Insulin. His vital signs are as following: RR 124, BP 100/70, Temp 37 C. and RR of 28. His right lower limb is pale up to the mild calf and cold up to the knee with no popliteal pulse available on palpation. Which of the following clinical findings will affect his further management?
سؤال مجاني 5 من 10 اليوم · اشترك وكمّل بدون حد
اعرض الإجابة
الإجابة والشرح
ادخل لحسابك عشان نحفظ إجاباتك ونوريك أخطاءك.
الإجابة: D. Loss of power of dorsiflexion of the right foot
This is acute limb ischaemia; its management depends on the Rutherford class, which is decided by sensory loss and muscle weakness/paralysis. Loss of dorsiflexion power means at least class IIb (needs immediate revascularisation) or III if complete (amputation).
- Pulse findings, ABI and Buerger angle confirm ischaemia but do not change the class/urgency.
- المصدر
- PVD - Afnan.pdf · p. 31
PVD - Afnan.pdf · p. 27
PVD - Afnan.pdf · p. 25 - المحاضرة
- Peripheral vascular and Diabetic foot · General Surgery · Module D
- ظهر في
- Surgery QB (Module D) p. 154 Q13