Final Answer:
The management for a patient who, after surgery for an acute embolus to the lower extremity, has good perfusion to the foot and toes but cannot dorsiflex the foot with tenderness in the calf involves a comprehensive approach. Immediate evaluation should be conducted to rule out any postoperative complications, such as compartment syndrome or nerve damage. Subsequently.
Step-by-step explanation:
The inability to dorsiflex the foot and tenderness in the calf after surgery for an acute embolus raises concerns about potential complications. Immediate assessment is crucial to rule out issues such as compartment syndrome, nerve damage, or residual emboli. Imaging studies, such as ultrasound, may be employed to assess vascular patency and detect any remaining thrombi.
Once acute complications are ruled out, a rehabilitation plan should be initiated. Physical therapy plays a vital role in restoring functional mobility. Range of motion exercises and strengthening activities for the affected muscles can help improve dorsiflexion and overall foot function. Regular monitoring for signs of deep vein thrombosis, such as swelling and pain, is essential, and appropriate anticoagulation therapy may be considered.
In summary, the management involves a multidisciplinary approach, starting with immediate evaluation to identify potential complications, followed by targeted rehabilitation efforts to improve functional outcomes. Close monitoring for complications like deep vein thrombosis is essential for a comprehensive and effective postoperative management plan.