cerebral
Forum Newbie
Topics: 6
Posts: 31
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what would be the treatment of PE in an elderly patient with a history of hip fracture 3 days ago? Could you give fibrinolytics or heparin with a history of injury and/or surgery? How would you differntiate fat embolism from thrombotic embolism based on symptoms alone?
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| doc68
Forum Junior
Topics: 2
Posts: 56
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inferior venacaval filter
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| Guptashutosh
Forum Elite
Topics: 35
Posts: 354
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1:inferior vena cava filter is for dvt embolism , i m not sure if it will help in fat embolism
2: i think heaprin low dose can be given with ptt and inr monitoring becoz PE is an emergency and life threatning
3: fat embol can be diff by history of any predisposing factors, like hip # in this case..
any suggestions r welcome
GL
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| chemamr
Forum Hero
Topics: 703
Posts: 4,488
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inferior vena cava filter could be a good option. It can also be used in PE, as well as in DVT.
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| AAzad
Forum Guru
Topics: 57
Posts: 460
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I GO FOR LMW HEPARINS LIKE ENOXAPRIN,OR DALTAPARIN, ALSO DABIGATRAN PO IS AVAILABLE
http://www.erj.ersjournals.com/cgi/content/full/1...
YOU CAN ALSO CHECK THIS ARTICLE
Edited by AAzad on 10/26/06 - 10:30 PM
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| saadtazjam
Forum Elite
Topics: 9
Posts: 160
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IVC filter is only for recurrent pulmonary emboli.
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| Thunderball65
Forum Newbie
Topics: 3
Posts: 34
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Sometimes the patients can have the IVC filter placed before surgery if they are at risk for PE and then about 1 month after surgery they my have it removed if they have low risk. but i believe that you go to heparin proph, and scd's.
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| alpha12
Forum Senior
Topics: 6
Posts: 70
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treatment for fat embolism is supportive. I don't think heparin can do anything.
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| ssrpk
Forum Fanatic
Topics: 154
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one way to differentiate between thromboembolism and any other non-thrombotic embolism is quantitative analysis of D-dimers!
but ofcourse it can only rule out thromboembolism as D-dimers are sensitive but not very specific! Thus positive results need further evaluation!
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