
Nawal Rafiq
Rehman Medical Institute, PakistanTitle: Unidentified recurrent acute compartment syndrome of the right upper limb
Abstract
Acute compartment
syndrome (ACS) is a surgical emergency that requires urgent fasciotomy to
prevent irreversible sequelae. Symptoms usually include intense pain,
tenderness in the affected area, tingling or burning sensation, and in severe
cases, numbness or weakness and limb amputation due to ischemia from
compression of the blood vessels, respectively. This case report describes a
19-year-old female who presented with complaints of severe pain and swelling in
her right forearm. On examination, no bite marks, blisters, or skin necrosis
were noted except for several surgical scars from her previous surgeries for
the same condition, i.e., compartment syndrome. Upon thorough examination,
including relevant investigation and clinical judgment, she was diagnosed with acute
compartment syndrome, for which she underwent fasciotomy. There was no basic
underlying pathology found in her case, making it an unidentified case of acute
compartment syndrome.
Biography
Nawal Rafiq has completed her Medical
Degree (MBBS) at the age of 24 years from Rehman Medical Institute (RMI),
Peshawar, Pakistan. At the age of 25 years, she became youngest Diplomate
American Board of Quality Assurance & Utilisation Review Physician and a
certified healthcare and quality management (CHCQM). Till date she has
published 4 articles and 2 case reports. She has done her ICH-GCP certification
from National Drug Abuse Treatment Clinical Trials Network and Introduction to
the Principles and Practice of Clinal Research (IPPCR) certification from
Office of Clinical Research, National Institute of Health (NIH).