Compartment syndrome Quiz: Ace Your Exams
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A 67-year-old woman is evaluated due to pain in the right lower extremity 2 hours after undergoing a right femoral artery embolectomy. The patient reports moderate pain in the anterior aspect of the right lower extremity with tingling. Past medical history is significant for new-onset atrial fibrillation and hypertension. Temperature is 37°C (98.6°F), blood pressure is 140/89 mmHg, pulse is 110/min, respiratory rate is 22/min, and oxygen saturation is 96% on room air. On examination, the right lower extremity appears moderately swollen but not tense. The dorsalis pedis pulse is strong. Sensory and motor examinations of the lower limb are unremarkable. Passive stretching causes mild pain in the leg. Laboratory evaluation shows potassium of 5.1 mEq/L (3.5 - 5.0 mEq/L) and CPK of 600 U/L (25 - 90 U/L). Which of the following is the best next step in the management of this patient?
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