In addition to pain and decreased perfusion, manifestations of neurovascular deterioration include
a. pallor, paresthesia, and paralysis.
b. paresis, pulselessness, and polyneuralgia.
c. paralysis, polyneuralgia, and pruritus.
d. paresthesia, paresis, and pallor.
A
Neurovascular deterioration is referred to as the "5 Ps" (pain, pallor, decreased perfusion, paresthesia, and paralysis). Neurovascular deterioration can occur in compartment syndrome. It is a severe complication of musculoskeletal trauma in which swelling is limited because of a confined space. Pain is the most significant and earliest clinical manifestation. Paresis in options "b" and "d" means incomplete paralysis and is not included in the signs and symptoms of neurovascular deterioration. Polyneuralgia in options "b" and "c" is not a sign or symptom of neurovascular deterioration. Pruritus means itching, and itching is not a sign or symptom of neurovascular deterioration.
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