GOGETA
I'm Dr. GOGETA
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that is a good question
I remember that the fat one has a couple of things that the thrombo one does not have.
Also in that case hip fracture I will always go with the fat one.
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| neuroblastoma
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fat embolism-
Patients become febrile with high-spiking temperatures.
Dermatologic- notice reddish-brown nonpalpable petechiae developing over the upper body, particularly in the axillae, within 24-36 hours of insult or injury. These petechiae occur in only 20-50% of patients and resolve quickly, but they are virtually diagnostic in the right clinical setting.
Subconjunctival and oral hemorrhages and petechiae also appear.
Neurologic- agitated delirium but may progress to stupor, seizures, or coma and frequently is unresponsive to correction of hypoxia.
Retinal hemorrhages with intra-arterial fat globules are visible upon funduscopic examination.
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| liliaeliz
Forum Elite
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so in this case which you pick up and why
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| gr8doc
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C.it is a clear case of Pulmonary embolism & you treat first. Since they have already given the ABG, the next best step in management is Heparinize.
However, if they had not mentioned about the ABG, the next best step would have been ABG.
Hope this helps.
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| liliaeliz
Forum Elite
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thanks
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| Justice
Forum Fanatic
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The answer is E
This is fat embolism not just pulmonary embolism, which happens with ambulation of the patient after a period of immobilization... In addition, there are multiple sites of occlusion... The Pt needs respiratory support
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| MAGY17
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| MAGY17
Forum Elite
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the ans is c
look like fat but is unilateral, no fever, no rashes no petechia, don`t know about platelet count etc
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