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ID:37942965
大小:2.07 MB
页数:46页
时间:2019-06-03
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1、AcuteRespiratoryDistressAcuteRespiratoryDistressSyndromeafterTrauma:SyndromeafterTrauma:FatEmbolismSyndromeFatEmbolismSyndromeJessicaO’BrienMSIIIRadiologyCoreClerkshipBethIsraelDeaconessMedicalCenterHarvardMedicalSchoolMarch19,2010AgendaAgenda¢IndexC
2、aseIndexCase¢GroundGlassOpacitiesGroundGlassOpacities¢ARDS:DiagnosisandARDS:DiagnosisandPathophysiologyPathophysiology¢CausesofARDSCausesofARDS¢FatEmbolismSyndromeFatEmbolismSyndrome¢CorrelatedRadiologyCorrelatedRadiologyIndexPatient:IndexPatient:Ini
3、tialPresentationInitialPresentation¢Ourpatientisa20Ourpatientisa20yoyofemale,whofemale,whosustainedamassiverightlowerextremitysustainedamassiverightlowerextremityinjuryafteramotorvehicleaccidentinjuryafteramotorvehicleaccident––Air-flightedflightedfr
4、omoutsidehospitalduetoextensivesofttissuede-glovingwithexposedtibia––Patientreportedbrieflossofconsciousnessduringevent¢IntheER,shewasstabilizedandIntheER,shewasstabilizedandevaluated…evaluated…IndexPatient:FracturesonLowerIndexPatient:FracturesonLow
5、erExtremityPlainFilmExtremityPlainFilmFindings:CompoundComminutedMid-diaphysealTibiaandFibulaFracturesPACS,BIDMCFrontalRightTib/FibXRIndexPatient:FrontalCXRIndexPatient:FrontalCXRFindings:LowlungvolumesNopleuraleffusionNopneumothoraxPACS,BIDMCPortabl
6、eA/PCXRIndexPatient:ChestCTIndexPatient:ChestCTFindings:NormallungparenchymaLowlungvolumesNopleuraleffusionNopneumothoraxPACS,BIDMCAxialC+ChestCTIndexPatient:SummaryofIndexPatient:SummaryofRadiographicFindingsofInitialRadiographicFindingsofInitialPre
7、sentationPresentation¢RTib/FibXR:Tib-fibfractures¢Nootheracuteprocesson:––CXR––CTC-Spine––CTHead––CTTraumaTorsoseries,includingChest,Abdomen,Pelvis¢Patientunderwentemergentsurgery:––Irrigationanddebridementoflaceration––IntramedullaryIntramedullaryna
8、ilingofrightopentibia-fibulafracture––VACapplicationIndexPatient:InterimHistoryIndexPatient:InterimHistory24hoursafteradmission24hoursafteradmission¢PatientdevelopedPatientdevelopeddyspneadyspneaandnonandnon--productivecoughproductivecough––Febrileto
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