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Case No. 516
2019-05-01~2019-05-31
출제자 : 이아름
Hit : 510
| Period | 2019-05-01~2019-05-31 |
|---|---|
| Diagnosis | Cerabral fat embolism syndrome |
| Clinical information | F/50 임상정보: Mental change, about 8 hrs ago 진단은? |
| Discussion | # Cerebral fat embolism - Thought to result from an initial mechanical obstruction of arterial circulation by neutral fat, followed by a delayed extensive biochemical toxic injury from free fatty acid. - Long bone fracture at lower extremity resulting in large amount of disseminated bone marrow fat tissue flow into pulmonary circulation and in the presence right-to-left shunts, can later pass into the systemic circulation. - MRI findings Scattered cytotoxic edema: acute stage Confluent cytotoxic edema in white matter: subacute stage Vasogenic edema lesions that may enhancement: subacute stage Petechial hemorrhage of white matter: All stage, pathognomonic nature Chronic sequalae: Chronic stage |
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Semi-Correct Answer |