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Embolism

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3rd Year MBBS By Dr. Yasir Shabbir Gujranwala Medical College Gujranwala

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Embolism

  1. 1. EMBOLISM BY DR. YASIR SHABBIR PATHOLOGY DEPARTMENT
  2. 2. EMBOLISM Detached Intra Vascular solid liquid or Gaseous Mass • Cholestrol Embies • Termbo Embolish
  3. 3. TYPES • Pulmonay • Systemetic • Fat • Marrow • Air • Aminiotic
  4. 4. PULMONARY EMBOLISM •2-4/1000 USA •1,00000/ per year USA •95% DVT
  5. 5. SADDLE THROMBUS • Pulmonary Artery • High Risk for pulmonary Embolism
  6. 6. PARADOXICAL EMBOLISM • Inter Arterial Defect • Inter Septal effect
  7. 7. COR PULMONALE • Pulmonary Artery – End Arteriole Haemhrriage Infaction • Multiple Embolies Pulmonary Hyper tension • Right Heart Failure
  8. 8. SYSTEMIC THROMBOEMBOLISM • Intracardial Mural Thrombies 80% • Aortic Aneurysm • Atherosclerotic Plaque • Valvular Vagetation I. Caliber of Blood Vessel II. Colletral Blood Supply
  9. 9. FAT EMBOLISM • Fracture • Soft Tissue Trauma • Burns • Cardio Pulmonary Resuscitation • Skeletal Muscles Injuries
  10. 10. PATHOGENESIS OF FAT EMBOLISM • Mechanical obstruction Biochemical Injury • Red Cell Aggregation Anemia • Platelet Aggregation Thrombocytopenia • Protease, Eicosanoids, Free Fatty Acid • Toxic Injury Endothelium
  11. 11. CLINICAL FEATURES OF FAT EMBOLISM • Anemia • Thrombocyopenia • Delirum • COMA • Death
  12. 12. AIR EMBOLISM • Frothy Mass in circulation • Bypass surgery • Neuro Surgery in sitting position • Obstetric Laparoscopic Surgery • Bends GRECIAN Bend Fashion Pose
  13. 13. • Edema • Haemhrrage • Focal Atelactassis • Emphysema • Cassion Diease • High Pressure Gass • Cuba Sea Divers • Under Water constructor
  14. 14. AMNIOTIC EMBOLISM • 5th world wide • 10% of Materna Death • Rupture of Membrane Uterine Veins • Labour Post Partum
  15. 15. AUTOPSY FINDINGS I. Sqamous Cells Shed from FETUS skin II.Lanugo Hair III.Fat from the Vernix Ceaseosa IV.Mucin from the Respiratory or GIT System V.Pulmonary Edema VI.Diffuse Alveolar Damage
  16. 16. CLINICAL FEATURES

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