Muscular System Andrea, a 29 year old graduate student, was riding her bicycle t
ID: 3510835 • Letter: M
Question
Muscular System Andrea, a 29 year old graduate student, was riding her bicycle to class and wa struck by a driver who was preoccupied with a text message on her phone. Andrea is transported to Providence Portland Medical Center by ambulance where x-rays revealed that she had suffered a fracture of the tibia. Following closed reduction of the simple transverse break, the following was noted: 1. Her pain levels were disproportionate to what would be expected with this ty of injury. 2. The pain was unremitting and difficult to control with standard pain medicatic 3. There was an increase in the tightness of the skin of her lower leg 4. She was experiencing paresthesias (pins and needles" sensation), muscle weakness and a very weak pulse in her dorsalis pedis artery (palpated on the t of the foot) Questions What is the likely condition producing the symptoms? Winter 2018 J Fu What type of tests and monitoring would be used to confirm the diagnosis? What are the recommended treatments for her condition? What is the prognosis for successful treatment? What are the possible complications if this condition is not treated quickly and effectively?Explanation / Answer
Pressure on peripheral nerves or even damage to the peripheral nerves due to the accident could be producing the experienced symptoms.
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