Marked Calf Tenderness in Surgery — 32yo Man | Vascular Surgery | SMLE Q#11047
SMLE Question #11047
Surgery
Vascular Surgery
Last updated: February 2026
A 32-year-old man presents 45 minutes after a deep stab wound to the right groin just below the inguinal ligament. He has severe right leg pain and numbness. The right leg is pale and cool with marked calf tenderness, delayed toe capillary refill, decreased sensation over the dorsum of the foot, and weak distal motor strength. No palpable pulse is detected at the right femoral artery or any distal artery. What is the most appropriate next step in management?
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