Amniotic Fluid Embolism
|
Pulmonary Embolism
|
|
Onset of symptoms
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Usually during labour
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Any time in pregnancy
|
Early symptoms
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Dyspnoea, restlessness, panic, feeling, cold, paraesthesiae. Usually
no pain
|
Breathlessness, , cough, haemoptysis,
pleuritic pain
|
Coagulopathy
|
Present
|
Absent
|
ECG
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Not helpful
|
S1Q3T3
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Chest x-ray:
|
Pulmonary oedema, ARDS, right atrial
enlargement, prominent pulmonary artery.
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Segmental collapse, raised
hemidiaphragm, unilateral effusion
|
CTPA
|
Negative
|
Positive
|
Complement levels
|
Raised
|
Normal
|
Serum Fetal Sialyl Tn antigen
|
Present
|
Absent
|
This blog is of my personal experiences in the labour ward and also in the clinical setting. This mainly represents the challenges I had and the solutions I came up with. I believe similar work challneges are faced by my colleuagues too.
Tuesday, 25 June 2013
How to differentiate Amniotic fluid embolism and Pulmonary embolism?
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