Difference between revisions of "Leg amputations"
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*Trauma. | *Trauma. | ||
*Infection - see ''[[chronic osteomyelitis]]''. | *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> | *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== | ==Grossing== | ||
*Type of specimen: above knee/below knee. | |||
*Dimensions. | *Dimensions. | ||
*Resection margin: appears viable. | *Resection margin: appears viable. | ||
*Intactness: all appendages present. | *Intactness: all appendages present. | ||
*Hair: present/absent. | *Hair: present/absent. | ||
*Ulcer: present/absent, location, size. | *Ulcer/injury/scars: present/absent, location, size. | ||
*Skin changes: shiny, gangrenous. | *Skin changes: none apparent, shiny, gangrenous. | ||
*Skin lesions: present/absent. | *Skin lesions: present/absent. | ||
*Nails: within normal limits/colour change. | *Nails: within normal limits/colour change. | ||
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.
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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.