Which of the following signs indicate the need for prompt referral to a surgeon following primary intention closure?

• A. Minor swelling and pain
• B. Severe pain and neurologic signs
• C. Absence of motor function
• D. Superficial skin healing

Answer: (B)

The indication for prompt referral to a surgeon following primary intention closure is primarily associated with severe pain and neurologic signs. This scenario suggests a more serious underlying issue, such as possible nerve injury or compression that could lead to significant functional impairment. Severe pain accompanied by neurologic symptoms may indicate conditions like compartment syndrome or other complications that require immediate surgical intervention to prevent lasting damage.

In contrast, minor swelling and pain, while they can be concerning, are often expected and typically resolve with conservative management as part of the normal healing process after surgical procedures. Absence of motor function is an alarming sign that may indicate a serious issue, but it needs to be considered within the context of the overall clinical picture to determine if immediate surgical attention is warranted. Superficial skin healing is generally a positive sign in recovery and does not indicate a need for urgent surgical evaluation.

Understanding these distinctions is crucial for making decisions regarding postoperative care and timely referrals to ensure the best outcomes for patients.