injuries poisoning
Compartment Syndrome
Symptoms and Signs of Compartment Syndrome
Theearliest symptomof compartment syndrome is Worsening pain It is typically out of proportion to the severity of the apparent injury and is exacerbated by passive stretching of the muscles within the compartment (eg, for the anterior leg compartment, by passive ankle plantar flexion and toe flexion, which stretches the anterior compartment muscles). Pain, one of the 5 Ps of tissue ischemia, is followed by the other 4: paresthesias, paralysis, pallor, and pulselessness. Compartments may feel tense when palpated. If pain is more than expected for the severity of the apparent injury, consider compartment syndrome; check for exacerbation of pain with passive muscle stretching, and if compartments are palpable, check for tenseness. 