APPLIED RADIOLOGICAL ANATOMY

ANATOMY

MUSCULOSKELETAL AND SOFT TISSUE

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
You are assessing a patient with a crushing injury of the LE. Which of the following is essential to report to the MD?
A
coolness
B
pain
C
pulselessness
D
edema
Explanation: 

Detailed explanation-1: -Assessment of crush syndrome Local assessment findings for crush syndrome include pain out of proportion, swelling, bruising and weakness. Worrisome systemic findings are tea-colored urine, fever, malaise, nausea and vomiting, confusion, agitation, delirium and anuria, which is the inability to produce urine.

Detailed explanation-2: -For patients with an overt history or history suggestive of crush injury, the patient should be monitored continuously, and electrolytes (particularly potassium, calcium, and phosphate) and arterial blood gas should be obtained. Urine myoglobin and creatine kinase can be obtained to detect rhabdomyolysis.

Detailed explanation-3: -Serum creatinine kinase (CKMM) levels greater than 1000 IU/l with associated clinical features is generally taken as an indicator of crush syndrome.

Detailed explanation-4: -Crush injury is a direct injury resulting from the crush. Crush Syndrome is the systemic manifestation of muscle cell damage resulting from pressure or crushing.

There is 1 question to complete.