Fat Embolism Syndrome

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Commonly seen in young males between 20-30 years of age. Seen in fracture shaft of femur ( >48-72hours) SYMPTOMS AND SIGNS: 3C’s 1. CENTRAL         -Delirium         -Disorientation         -Delusion         -Convulsion         -Stupor         -Coma 2. CUTANEOUS         Petechial rashes on front and back. 3. CARDIO-PULMONARY         -Dyspnoea         -Tachypnoea         -Tachycardia         -Cyanosis         -Hypoxia         -Hypoxemia INVESTIGATION: -Anaemia (<5gm %) -In fracture shaft of femur, avg. blood loss is 1-1.5L; so Thrombocytopenia -Chest Xray shows SNOW STORM APPEARANCE -GURD test: microscopic examination of urine shows fat globule-- lipemia. MANAGEMENT: -O2 derived at room temperature >80%. -IV Fluids. -IV Steroids. -Forced alkaline diuresis. -Pulmonary embolectomy
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