A) Hypoxemia, neurologic abnormalities, and thrombocytopenia
B) Hypoxemia, neurologic abnormalities, and a petechial rash
C) Hypoxemia, lipiduria, and a petechial rash
D) Hypoxemia, fat globules in the pulmonary circulation, and a petechial rash
E) Hypoxemia, fat globules in the pulmonary circulation, and coagulation abnormalities
Answer: B
The objective of above question is to emphasize that FES is a clinical diagnosis. Radiological and laboratory workup is supportive. Only choice B has three clinical findings. All other choices include diagnostic workup. Classic triad is
- hypoxemia,
- neurologic abnormalities, and
- a petechial rash
Reference:
Georgopoulos D, Bouros D. Fat embolism syndrome: clinical examination is still the preferable diagnostic method. Chest 2003; 123:982.
No comments:
Post a Comment