EMQs in Clinical Medicine.pdf - Peshawar Medical College

Complications of fractures 117
47 Complications of fractures
A
B
C
D
E
F
compartment syndrome
osteoporosis
pneumothorax
ulnar nerve injury
pulmonary embolus
median nerve injury
G
H
I
J
K
L
delayed union
Sudeck’s atrophy
malunion
myositis ossificans
haemarthrosis
radial nerve injury
For each clinical scenario below, give the most likely cause for the clinical findings.
Each option may be used only once.
1 A 25-year-old man presents with a blue right arm with absent radial pulse and
painful passive finger extension after a supracondylar fracture of humerus.
2 A 40-year-old woman presents 5 weeks after a radial fracture with a painful
swollen hand. The hand is cold and cyanosed with heightened temperature sensitivity.
3 A 70-year-old woman complains of right-sided pleuritic chest pain 10 days after
a fractured neck of femur.
4 A 60-year-old woman complains of pain, swelling and reduced mobility 4 months
after suffering a fractured neck of femur. Her radiograph shows absence of
callus at fracture site.
5 A 65-year-old woman who falls on an outstretched arm shows weakness of
wrist extensors.
Answers: see page 130.