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:

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

References

  1. 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.