I am a screenwriter. My latest project involves a transradial
33 year old male diabetic, heavy smoker (2-3 packs a day, 10+ years) comes into hospital with what he thinks is a broken left arm: he was mugged and attacked. It's purple-black discoloured and in severe pain. He says that the arm had experienced some pain and numbness for a couple weeks before, but after it was broken it became unbearable. Moreover, he woke up that morning to discolouration but thought it was just an injury from a boxing sparring match the night before. Upon taking blood pressure of both his arms, we find the left has significantly lower blood pressure than the right. An ultrasound to the arm and angiogram detects a clot, a subsequent blood panel finds an infection in his bloodstream. It is at an advanced stage, and the safest way forward is amputation.
Conclusion: arterial occlussion causes gangrene, then amputation
Does this seem right to you? What strikes you as not possible, malpractice, etc.?
Thank you for your time.
It is usually not possible
If a patient has an arterial injury then it causes severe pain and it is not possible that patient can sleep over it. So it does not look right. Rarely Diabetic patient may have very less pain and so not able to recognize the symptoms in time. So, in my opinion, this gangrene is more because of Diabetes then assault.
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