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Medicine C.V.S d2e06006

Which of the following statements is true regarding fat embolism-

A
Most patients with major trauma involving long bones have urinary fat globules
B
All patients with urinary fat globules develop fat embolism
C
Peak incidence of respiratory insufficiency for pulmonary fat embolism is around day 7 after injury
D
Heparin as an anticoagulant decreases moality and morbidity in fat embolism syndrome
High-Yield Explanation
Fat embolism syndrome occur when fat enters the blood stream (fat embolism) and results in symptoms.Symptoms generally begin within a day. This may include a petechial rash, decreased level of consciousness, and shoness of breath. Other symptoms may include fever and decreased urine output. The risk of death is about 10%. Fat embolism most commonly occurs as a result of fractures of bones such as the femur or pelvis.[Other potential causes include pancreatitis, ohopedic surgery, bone marrow transplant, and liposuction.The underlying mechanism involved widespread inflammation. Diagnosis is based on symptoms Ref Davidson 23rd edition pg 986

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