Tag: Embolism
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Pulmonary Embolism (PE)
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CLINICAL SIGNS: * Difficult diagnosis because signs are not very sensitive and not very specific. * acute dyspnea of polypnea type (70%), cough (40%). * chest pain (60%) with or without hemoptysis (10%), tachycardia (30%), sometimes inaugural syncope (10%). * fever between 37.5 ° and 38.5 ° C. * the signs are frustrated in the elderly: – think about dyspnea or malaise rather than chest…
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Pulmonary Embolism
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Warning: • Diagnosis evoked by context and promoting the clinic. • Any suspected pulmonary embolism (PE) requires a transfer to hospital for confirmation and initiation of anticoagulation. • Do not ignore the imperfect forms, particularly without obvious phlebitis Clinic: The context is thrombophlebitis (see), but not always! functional signs: pain, sudden or increasing dyspnea, cough,…
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Acute Respiratory Distress Syndrome
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– He set any condition is clinically characterized by acute respiratory distress, radiologically by bilateral alveolar opacities and severe hypoxemia refractory to oxygen enrichment of inspired gases in the absence of abortion. – This syndrome is characterized by severe disorder avéolocapillaire membrane permeability, resulting in pulmonary edema lesions, head of hypoxia and reduced lung volumes…
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Chest pain
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A few figures help to understand the problem that occurs most often in an emergency context: – Chest pain represents about 5% of the chief complaints in the emergency services; – Allowed to leave their homes nearly 5% of patients with chest pain is related to acute coronary symptom; – Pulmonary embolism is one of…
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Complicated fractures
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1- Fat embolism: A- General: – Observed especially in case of fracture of the femoral shaft (> 2/3 of the causes of fat embolism) – More frequently observed in case of delayed treatment (immobilization of absence from home beyond 24 hours) – There is a free interval of several hours to several days. B- Clinic:…
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Purpura
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DIAGNOSTIC : Purpura is a red spot is not erasing the vitropression. It is due to the extravasation of red blood cells in the dermis. The diagnosis is obvious. The diagnosis is crucial. Indeed, purpura may be the call sign of a very serious infection (purpura fulminans of meningococcemia), a significant thrombocytopenia or systemic vasculitis.…
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Venous thromboembolic disease and pregnancy
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1- Summary: Pregnancy is a physiological condition favoring the occurrence of venous thrombosis, and sometimes unmasking coagulopathy. Due to the presence of the fetus, suspicion of venous thromboembolism in pregnant women poses a double challenge to the clinician: a diagnostic challenge, spoke before a set of clinical and confirmed to be using d ‘imaging tests…
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Hemoptysis
* Pulmonary causes: proximal bronchial cancer (squamous cell carcinoma); pulmonary tuberculosis (PTB ongoing or bronchiectasis sequelae); DDB (recurrent hemoptysis) bronchial infections (acute bronchitis); pneumonia;aspergilloma; intrabronchial foreign body. * Cardiovascular causes: pulmonary embolism; mitral stenosis; Abortion; pulmonary hemangiomas; Primary pulmonary hypertension; ruptured aortic aneurysm (hemoptysis lightning). * If abundant hemoptysis -> lysopressine infusion (vasoconstrictor). Bronchoscopy emergency…
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Pulmonary Embolism
* The respiratory impact is complex, often resulting to hypoxia without carbon dioxide retention. Both there is a dead space effect (broken not perfused areas) and increased physiological shunt. This is explained by the persistence of blood flow in embolized areas and the opening of latent anastomoses under the effect of PAH. * Objective arterial…
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Livedos
DIAGNOSIS: The clinical appearance of livedos is the purple mesh on the skin. Livedo corresponds to a blood stasis in the superficial venous plexus of the dermis. The diagnosis of livedo poses no problem. The main difficulty is the etiologic diagnosis. Evident in livedos due to low circulation rates, it can be a serious systemic…
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