Approach to extremity injury Quiz: Ace Your Exams

Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!

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A 36-year-old man presents to the emergency department after a fall while mountain biking. The patient hit a rock while traveling downhill and landed directly onto the left lower extremity. The patient was wearing a helmet and full-body padding. There is no significant past medical history, and the patient takes no medication. Temperature is 37.0°C (98.6°F), heart rate is 108/min, respiratory rate is 20/min, blood pressure is 177/86 mmHg, and oxygen saturation is 99% on room air. On primary survey, the patient speaks in clear, full sentences and reports significant left calf pain. Breath sounds are equal bilaterally. Capillary refill is brisk, and there are no signs of significant bleeding. Glasgow coma score (GCS) is 15. Abrasions are noted over the left lateral chest and back. The left calf is edematous and feels tense on palpation. Which of the following additional physical examination findings is most likely to be present?

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