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Retired NBME Step 2 CK Form 7 Answers

step2ck_form7/Block 3/Question#18 (reveal difficulty score)
Three days after open reduction and internal ...
Duplex scan ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: cardio

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submitted by โˆ—step_prep5(246)
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  • Patient with recent surgery who presents with tightness/tenderness of the left calf, most concerning for a DVT (which should be worked-up with a duplex ultrasound)

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submitted by notyourgangsta(0)
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this question does not feel complete. I think the correct diagnosis is compartment syndrome. If there is tightness and pain after an operation, compartment syndrome must be considered.

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etherbunny  ...in which case ultrasound would demonstrate vascular compression, so it's still a good option. However DVT is far more common with lower limb surgery and immobilisation (or was, before LMWH became a standard of care). +2
fkstpashls  Just adding to the above, because it initially got me on UW: just because they're getting LMWH doesn't mean they can't get a DVT, it's just much less likely. +1
jigermisker  I just read the question again. fixation was right leg, pain now is left leg. +5



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