Difference between revisions of "Leg amputations"
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'''Leg amputations''' are typically seen in the context of [[peripheral vascular disease]]. | '''Leg amputations''' are typically seen in the context of [[peripheral vascular disease]]. | ||
==General - overview== | |||
Comes in two basic flavours: | |||
*Above the knee ampuation (AKA). | |||
*Below the knee ampuation (BKA). | |||
Etiology: | |||
*[[Diabetes mellitus]] - most common - see ''[[atherosclerotic peripheral vascular disease]]''. | |||
*Trauma. | |||
*Infection - see ''[[chronic osteomyelitis]]''. | |||
*Drug use, e.g. [[cocaine]].<ref name=pmid17059855>{{cite journal |author=Dhawan SS, Wang BW |title=Four-extremity gangrene associated with crack cocaine abuse |journal=Ann Emerg Med |volume=49 |issue=2 |pages=186–9 |year=2007 |month=February |pmid=17059855 |doi=10.1016/j.annemergmed.2006.08.001 |url=}}</ref> | |||
==Grossing== | |||
*Type of specimen: above knee/below knee. | |||
*Dimensions. | |||
*Resection margin: appears viable. | |||
*Intactness: all appendages present. | |||
*Hair: present/absent. | |||
*Ulcer/injury/scars: present/absent, location, size. | |||
*Skin changes: none apparent, shiny, gangrenous. | |||
*Skin lesions: present/absent. | |||
*Nails: within normal limits/colour change. | |||
*Vessels: examined? vascular disease? | |||
*Muscle wasting: present/absent. | |||
==Sign out== | |||
:See ''[[Ditzels#Atherosclerotic peripheral vascular disease]]''. | |||
==See also== | |||
*[[Ditzels]]. | |||
==References== | |||
{{Reflist|2}} | |||
[[Category:Ditzels]] | |||
Latest revision as of 18:01, 18 June 2014
Leg amputations are typically seen in the context of peripheral vascular disease.
General - overview
Comes in two basic flavours:
- Above the knee ampuation (AKA).
- Below the knee ampuation (BKA).
Etiology:
- Diabetes mellitus - most common - see atherosclerotic peripheral vascular disease.
- Trauma.
- Infection - see chronic osteomyelitis.
- Drug use, e.g. cocaine.[1]
Grossing
- Type of specimen: above knee/below knee.
- Dimensions.
- Resection margin: appears viable.
- Intactness: all appendages present.
- Hair: present/absent.
- Ulcer/injury/scars: present/absent, location, size.
- Skin changes: none apparent, shiny, gangrenous.
- Skin lesions: present/absent.
- Nails: within normal limits/colour change.
- Vessels: examined? vascular disease?
- Muscle wasting: present/absent.
Sign out
See also
References
- ↑ Dhawan SS, Wang BW (February 2007). "Four-extremity gangrene associated with crack cocaine abuse". Ann Emerg Med 49 (2): 186–9. doi:10.1016/j.annemergmed.2006.08.001. PMID 17059855.