An 88-Year-Old Man Is Evaluated Due to Severe Right Calf

An 88-year-old man is evaluated due to severe right calf pain several hours after undergoing a right femoral artery embolectomy.  He also has a burning sensation in the posterior aspect of the right leg.  The patient has persistent atrial fibrillation and hypertension.  His medical history also includes an ischemic stroke, bleeding duodenal ulcer, type 2 diabetes mellitus, and diabetic nephropathy.  Temperature is 36.5 C (97.7 F) , blood pressure is 160/70 mm Hg, and pulse is 100/min and irregular.  The right calf is swollen, tense, and exquisitely tender, with pain that is worse with passive dorsiflexion of the ankle.  The skin is shiny and cool to the touch.  Sensation over the leg is decreased and the patient is unable to move his toes.  Dorsalis pedis and posterior tibial pulses are palpable.  Which of the following is the most likely cause of this patient's symptoms?

A) Compartment syndrome
B) Necrotizing fasciitis
C) Recurrent embolism
D) Vaso-occlusive crisis
E) Venous thrombosis

Correct Answer:

Verified

Unlock this answer now
Get Access to more Verified Answers free of charge

Access For Free