Tuesday 25 June 2013

How to differentiate Amniotic fluid embolism and Pulmonary embolism?




Amniotic Fluid Embolism
Pulmonary Embolism
Onset of symptoms
Usually during labour
 Any time in pregnancy
Early symptoms
Dyspnoea, restlessness, panic, feeling, cold, paraesthesiae. Usually no pain
Breathlessness, , cough, haemoptysis,
pleuritic pain
Coagulopathy
Present
Absent
ECG
Not helpful
S1Q3T3
Chest x-ray:
Pulmonary oedema, ARDS, right atrial
enlargement, prominent pulmonary artery.

Segmental collapse, raised
hemidiaphragm, unilateral effusion
CTPA
Negative
Positive
Complement levels
Raised
Normal
Serum Fetal Sialyl Tn antigen
Present
Absent

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