What Is The Diagnosis?
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What Is The Diagnosis?| Ahmed Al-Kaisy |
Posted: January 11, 2008 06:09 pm
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Taking History...  Group: Graduated Doctors Posts: 32 Member No.: 1373 Joined: December 28, 2007  |
A 35 years old male, presented to u with sudden onset of shortness of breath and pin point petechiae all over his body, he has a preceding history of leg trauma that resulted in frature of femur 1 week ago......
what is the probable dignosis? and what test would u perform to support ur dignosis? (this case was mentioned by dr.Qassim sultan in one of my sessions!!!) |
 
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| ali faris |
Posted: January 12, 2008 09:03 am
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Inspecting... Group: Medical Students Posts: 69 Member No.: 97 Joined: September 25, 2005 |
Dx-------Fat embolism
Ix-------Chest X-ray,Blood test(PT,PTT,platelets...) Thanks Abu Shhab for this case,I hope my ans was correct.. |
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| ali al-kafaji |
Posted: January 12, 2008 07:59 pm
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Diagnosing... Group: Graduated Doctors Posts: 1576 Member No.: 22 Joined: August 14, 2005 |
pulmanary emblism
we have to do spiral ct and ventilation-perfusion ratio bs mada 2ftehem 3ela8et al petichia, can u explain it for me and thanks for ur wonderful cases ali |
  
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| Ahmed Al-Kaisy |
Posted: January 13, 2008 02:04 pm
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Taking History... Group: Graduated Doctors Posts: 32 Member No.: 1373 Joined: December 28, 2007 |
hi all, the diagnosis is pulmonary embolism from the history and the presentation...
there are types of emboli causing pulmoray embolism, the commonest of which are from DVT, but other types as FAT EMBOLI that may originate from fracture may also cause pulmonary embolism... in addition to pulmonary embolism, fat emboli may cause disseminated intravascular coagulation (DIC), which may present with small petechai due to decrease in platelet count... so this patient has presented with PE & DIC... to confirm the diagnosis of fat embolism, general urine examination is done for fat droplets... (i hope my explanation is clear for u dr. ali...) |
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| ali al-kafaji |
Posted: January 13, 2008 09:30 pm
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Diagnosing... Group: Graduated Doctors Posts: 1576 Member No.: 22 Joined: August 14, 2005 |
thanks dr.
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