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Old 12-14-2011
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Rheumatology/Orthopedics Absent distal pulses after closed reduction!

A 24-year-old man is hospitalized for treatment of a posterior dislocation of the right knee sustained in a motorcycle collision. Six hours after closed reduction, previously present distal pulses in his foot are absent, but the foot has remained warm. Which of the following is the most appropriate next step in management?

A) Elevation of the limb and observation for 24hours
B) Nitroprusside therapy
C) Sympathetic block
D) Femoral arteriography
E) Embolectomy with a Fogarty catheter through a proximal arteriotomy
D) Inflammation of the origin of the plantar fascia
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Old 12-14-2011
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D) Femoral arteriography
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  #3  
Old 12-18-2011
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Ill go for D
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