Dr. Satyendra Kaur (General Practice) needs a second opinion on this medical case.
A 23-year-old female sustained an undisplaced fracture of the midshaft of her left tibia. The fracture has been treated conservatively with a plaster cast. Two days later she has increasingly severe pain in her leg. Her toes are warm and pulses are present.
What is the most important immediate action?
A) Elevate the limb
B) Refer to orthopaedics
C) Remove the plaster cast
D) Replace the cast with increased padding
E) Re-x-ray the fracture site