Hypoxia and the Fat Embolism Syndrome [Summary]

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The fat embolism syndrome.

The fat embolism syndrome, often a complication of major trauma, frequently passes undiagnosed. The classical picture of cerebral confusion, respiratory distress and petechiae of skin and mucosa is not always seen. A distinction must be made between the clinical entity and fat embolism demonstrated pathologically. Post-mortem, fat embolism is often found after deaths from causes other than trau...

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Fat Embolism Syndrome

The initial symptoms are probably caused by mechanical occlusion of multiple blood vessels with fat globules that are too large to pass through the capillaries. The vascular occlusion in fat embolism is often temporary or incomplete, as fat globules do not obstruct capillary blood flow completely because of their fluidity and deformability. The late presentation is thought to be a result of hyd...

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Fat Embolism Syndrome

The classical syndrome of fat embolism is characterized by the triad of respiratory failure, neurologic dysfunction and the presence of a petechial rash. Fat embolism syndrome (FES) occurs most commonly following orthopedic trauma, particularly fractures of the pelvis or long bones, however non-traumatic fat embolism has also been known to occur on rare occasions. Because no defi nitive consens...

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Fat embolism syndrome

A 40-year-old man who sustained polytrauma presented with comminuted fractures of both right tibia and femur to the emergency room (ER). He had no evidence of head injury and was admitted for surgical fixation. Twelve hours after admission he developed dyspnea and while awaiting surgery his sensorium gradually declined over the next 24 h. Examination revealed a pulse rate of 130 bpm, blood pres...

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Fat embolism syndrome.

1 Reid J. Mid-systolic clicks. S African Med J 1961; 35: 353 2 Barlow J, Pocock W, Marchand P, et al. The significance of late systolic murmurs. Am Heart J 1963; 66:443-52 3 Markiewicz W, Stoner J, et al. Mitral valve prolapse in one hundred presumably healthy young females. Circulation 1976; 53:464-73 4 Procacci P, Savran S, et al. Prevalence of clinical mitral valve prolapse in 1169 young wom...

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ژورنال

عنوان ژورنال: Proceedings of the Royal Society of Medicine

سال: 1970

ISSN: 0035-9157

DOI: 10.1177/003591577006300810