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16 Cards in this Set
- Front
- Back
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A condition in which increased pressure
within a limited space compromises the circulation and function of the tissues within that space. what is this? |
Compartment Syndrome
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is compartment syndrome an emergency
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YESSSSS
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Elevated tissue pressure within a closed fascial
space Reduces tissue perfusion - ischemia Results in cell death - necrosis what is this? |
compartment syndrome
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most common cause of compartment syndrome?
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fracture
grade-III open injury to a pedestrian |
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what pressure is considered compartment syndrome
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over 30mm Hg
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how long do you have to reverse compartment syndrome?
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Muscle
3-4 hours - reversible changes 6 hours - variable damage 8 hours - irreversible changes Nerve 2 hours - looses nerve conduction 4 hours - neuropraxia 8 hours - irreversible changes |
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Pain out of proportion ****
Palpably tense compartment Pain with passive stretch what is going on? |
compartment syndrome
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features like pallor, pulselessness, paralysis,
paresthesia etc. appear very late and we should not wait for these things what do they occur late in? |
compartment syndrome
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where are the highest pressures found in compartment syndrome (normal)
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Anterior and deep posterior tibia are usually highest
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please list the blood supply for the compartments of the leg
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anterior: anterior tibial artery
deep posterior: peroneal (fibular) artery & posterior tibial arteries superficial posterior: posterior tibial artery lateral: peroneal artery |
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for compartment syndrome, should you elevate the limb?
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NO
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what is a Fasciotomy
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prophylactic release of pressure
before permanent damage occurs. Will not reverse injury from trauma done in compartment sydrome |
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what muscles are in the lateral compartment?
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Peroneus (fibularis) longus and
brevis |
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what muscles are in the anterior compartment?
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EHL, EDC, Tibialis
anterior, Peroneus tertius |
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what muscles are in the superficial posterior compartment?
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Gastrocnemius, Soleus
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what muscles are in the deep posterior compartment?
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Tibialis posterior,
FHL (flex hal long), FDL (flex dig long) |
