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Compartment Syndrome · trauma
A 19-year-old with a closed tibial shaft fracture has escalating pain, a tense anterior compartment, and severe pain with passive toe extension. Dorsalis pedis pulse is easily felt. The next step is: A Reassure — a palpable pulse excludes compartment syndrome B Elevate the limb well above the heart and recheck in the morning C Treat as acute compartment syndrome; do not wait for pulselessness or a perfect pressure number D Start therapeutic anticoagulation and observe Ortho Conditioning
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