you told that physiological phimosis is uptil 2 years only, but in QB they say till 6 years.
An elderly man is bought to the emergency department with sudden on set severe pain and numberness of the left lower limb.
He has no previous history of any limb claudiction .
The limb appears to be cold and peripheral pulses are not palpable .
What is the most appropriate next steps
The above clinical scenario is suggestive of sudden arterial occlusion. The first-line management is intravenous heparin 5000 U.
Management of sudden arterial occlusion-
First-line management - Intravenous heparin 5000 IU. Postoperatively, heparin therapy is continued until long-term anticoagulation with warfarin is established
Definitive management (<6 hours) -
Embolectomy with Fogarty’s balloon catheter
Thrombolysis with tissue plasminogen activator (tPA)
A CT angiogram is performed after the procedure to ensure that the flow to the distal leg has been restored. Thank you.