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Old 09-18-2011
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Question Dyspnea and petichiae after automibile accident

38 yO male, admitted to the hospital after automobile accident, on his 4th day of admission, he developed acute dyspnea, on examination the patient was afebrile, confused, petechiae over the neck & axilla.
What is the most likely diagnosis?
1. DVT
2. Pulmonary embolism.
3. Fat embolism.
4. DI C.
5. Septicemia.
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Old 09-18-2011
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3. Fat embolism
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Old 09-18-2011
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agree with dryogi it is 3.fat emboli.
if anyone can highlight mangment of fat and air embolism.
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Old 09-19-2011
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fat embolism=iv fluids and albumin
air embolim=decompression and high /pure oxygen
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Old 09-19-2011
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The correct answer: Fat embolism, common with long bone fractures, but rarely after CPR. Air embolism usually after trauma to the thorax, indwelling venous/arterial lines.
Management is supportive, no anticoagulation.
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Old 07-05-2012
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What's the pathophysiology/expalanation for petechiae in Fat embolism?
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Old 07-05-2012
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Quote:
Originally Posted by Drmedic View Post
What's the pathophysiology/expalanation for petechiae in Fat embolism?
I believe petechiae was a result of hemorrhagic thromboembolism due to cholesterol crystal induced infarction.
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