Severe Right Thigh Pain in Surgery — 27yo Man | Vascular Surgery | SMLE Q#6166
SMLE Question #6166
Surgery
Vascular Surgery
Last updated: February 2026
A 27-year-old man presents 40 minutes after a high-speed motorcycle collision with severe right thigh pain and swelling. Examination shows a rapidly expanding, tense medial thigh hematoma with overlying skin blanching. Distal femoral and popliteal pulses are weak with delayed capillary refill in the right foot. He remains hemodynamically borderline despite initial fluid resuscitation. What is the most appropriate next step in management?
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