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In addition to his already confirmed DVT, what else is going on here?
His friend arrives and tells you that the patient has been overdosing on his prescription medications and a few days previously he had found him on the floor of his house where it looked like he may have been lying for a while.
This extra information suggests an atraumatic cause for his DVT and compartment syndrome – prolonged limb compression. The history of opiate abuse also explains why he was not complaining of pain.
The orthopaedic team say they will come and review. What bedside test might they use to confirm compartment syndrome?