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upper extremity spot diagnosis

Discussion in 'Spot Diagnosis' started by bb100, Apr 13, 2013.

  1. bb100

    bb100 Bronze Member

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    what is your comment? thanks, like and correct answer will give several days later lol

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  2. neo_star

    neo_star Moderator

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    Re: upper extremity

    Ans : Forearm fasciotomy done for compartment syndrome.

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    If the etiology was snake bite or some other form of envenomation, then blood coagulability should be restored ( by giving antivenom, FFP, platelet concentrate or fresh whole blood ), b4 fasciotomy is performed.

    - this acc to, Pye's surgical Handicraft, 22nd ed, chp 28 - treatment of snake bite, pg 426.

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    Failure to perform an adequate fasciotomy after revascularization of an acutely ischemic limb is the most common cause of preventable limb loss.

    ref - Sabiston, 19th ed, chp 64, pg 1792

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    i couldn't resist the temptation P:
     

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  3. Stencil

    Stencil Young Member

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    Why such a weird incision for fasciotomy?
     

  4. neo_star

    neo_star Moderator

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    dis zig-zag incision is better, than a straight cut-down. It exposes more surface area with one incision....allowing for rapid resolution of edema and there is the added advantage of closing the wound with lesser tension (Y)

    i wanted to mention this in my first post....but i thought i wud bore people, but since u asked.....(-:
     

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  5. Emergency medicine Mike

    Emergency medicine Mike Bronze Member

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    Post fasciotomy status in cause of compartment syndrome.
     

  6. bb100

    bb100 Bronze Member

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    Correct Answer :forearm faciotomy for treatment compartman syn
     

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