The dangers of low slung jeans!

Question 1 of 3

1. Question

Which one of the following regarding his initial assessment and management is most appropriate?

Anaesthetise the wound and probe in Resus.
Clean and close the wound under local anaesthetic.
Check and document his distal neurovascular status.
Check his haemoglobin.
X-ray the wounded area.

Question 2 of 3

2. Question

On further examination he was found to have an absent pedal pulse on the injured side, and was unable to dorsiflex his big toe. He continued to deny pain elsewhere, and the thigh distal to the wound was soft and non tender. What is the likely diagnosis in this patient?

Arterial occlusion.
Neuropraxia secondary to the injury.
Pelvic Fracture.
Compartment syndrome.
Common Peroneal Nerve injury.

Question 3 of 3

3. Question

In view of your suspected diagnosis from the previous question, which one of the following is the best investigation to further assess this patient?

No imaging needed as it is likely to be temporary nerve damage.
USS groin
X-ray Pelvis.
FAST scan
CT angiography of the abdomen and pelvis.