Air embolism physical examination: Difference between revisions
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==Overview== | ==Overview== | ||
Patients with an air embolism usually appear distressed and can have symptoms from various different organ systems. | |||
==Physical Examination== | ==Physical Examination== | ||
*Patients with air [[embolism]] usually appear distressed. | |||
*Physical examination may be remarkable for: | |||
:*Cardiovascular Findings:<ref>{{Cite journal | |||
| author = [[Marek A. Mirski]], [[Abhijit Vijay Lele]], [[Lunei Fitzsimmons]] & [[Thomas J. K. Toung]] | |||
| title = Diagnosis and treatment of vascular air embolism | |||
| journal = [[Anesthesiology]] | |||
| volume = 106 | |||
| issue = 1 | |||
| pages = 164–177 | |||
| year = 2007 | |||
| month = January | |||
| pmid = 17197859 | |||
}}</ref> <ref>{{Cite journal | |||
| author = [[S. L. Orebaugh]] | |||
| title = Venous air embolism: clinical and experimental considerations | |||
| journal = [[Critical care medicine]] | |||
| volume = 20 | |||
| issue = 8 | |||
| pages = 1169–1177 | |||
| year = 1992 | |||
| month = August | |||
| pmid = 1643897 | |||
}}</ref> | |||
:**Arrythmias | |||
:**Murmmurs | |||
:**Jugular venous distension | |||
:**Hypotension | |||
:**ST and T wave changes | |||
:**Pulmonary arterial hypertension | |||
:**Increased central venous pressure | |||
:**Shock and cardiovascular collapse | |||
:*Respiratory Findings:<ref>{{Cite journal | |||
| author = [[Marek A. Mirski]], [[Abhijit Vijay Lele]], [[Lunei Fitzsimmons]] & [[Thomas J. K. Toung]] | |||
| title = Diagnosis and treatment of vascular air embolism | |||
| journal = [[Anesthesiology]] | |||
| volume = 106 | |||
| issue = 1 | |||
| pages = 164–177 | |||
| year = 2007 | |||
| month = January | |||
| pmid = 17197859 | |||
}}</ref><ref>{{Cite journal | |||
| author = [[S. L. Orebaugh]] | |||
| title = Venous air embolism: clinical and experimental considerations | |||
| journal = [[Critical care medicine]] | |||
| volume = 20 | |||
| issue = 8 | |||
| pages = 1169–1177 | |||
| year = 1992 | |||
| month = August | |||
| pmid = 1643897 | |||
}}</ref> | |||
:**Rales/ wheezing | |||
:**Tachypnea | |||
:**Hemoptysis | |||
:**Cyanosis | |||
:**Decreased End Tidal Co2 | |||
:**Hypercapnia | |||
:**Pulmonary edema | |||
:**Apnea | |||
:*Central Nervous System Findings:<ref>{{Cite journal | |||
| author = [[Marek A. Mirski]], [[Abhijit Vijay Lele]], [[Lunei Fitzsimmons]] & [[Thomas J. K. Toung]] | |||
| title = Diagnosis and treatment of vascular air embolism | |||
| journal = [[Anesthesiology]] | |||
| volume = 106 | |||
| issue = 1 | |||
| pages = 164–177 | |||
| year = 2007 | |||
| month = January | |||
| pmid = 17197859 | |||
}}</ref><ref>{{Cite journal | |||
| author = [[S. L. Orebaugh]] | |||
| title = Venous air embolism: clinical and experimental considerations | |||
| journal = [[Critical care medicine]] | |||
| volume = 20 | |||
| issue = 8 | |||
| pages = 1169–1177 | |||
| year = 1992 | |||
| month = August | |||
| pmid = 1643897 | |||
}}</ref> | |||
:**Altered mental status | |||
:**Seizures | |||
:**Focal neurological deficits | |||
:**Loss of consciousness | |||
:**Coma | |||
==References== | ==References== |
Latest revision as of 16:04, 23 October 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Patients with an air embolism usually appear distressed and can have symptoms from various different organ systems.
Physical Examination
- Patients with air embolism usually appear distressed.
- Physical examination may be remarkable for:
- Cardiovascular Findings:[1] [2]
- Arrythmias
- Murmmurs
- Jugular venous distension
- Hypotension
- ST and T wave changes
- Pulmonary arterial hypertension
- Increased central venous pressure
- Shock and cardiovascular collapse
- Respiratory Findings:[3][4]
- Rales/ wheezing
- Tachypnea
- Hemoptysis
- Cyanosis
- Decreased End Tidal Co2
- Hypercapnia
- Pulmonary edema
- Apnea
- Central Nervous System Findings:[5][6]
- Altered mental status
- Seizures
- Focal neurological deficits
- Loss of consciousness
- Coma
- Cardiovascular Findings:[1] [2]
References
- ↑ Marek A. Mirski, Abhijit Vijay Lele, Lunei Fitzsimmons & Thomas J. K. Toung (2007). "Diagnosis and treatment of vascular air embolism". Anesthesiology. 106 (1): 164–177. PMID 17197859. Unknown parameter
|month=
ignored (help) - ↑ S. L. Orebaugh (1992). "Venous air embolism: clinical and experimental considerations". Critical care medicine. 20 (8): 1169–1177. PMID 1643897. Unknown parameter
|month=
ignored (help) - ↑ Marek A. Mirski, Abhijit Vijay Lele, Lunei Fitzsimmons & Thomas J. K. Toung (2007). "Diagnosis and treatment of vascular air embolism". Anesthesiology. 106 (1): 164–177. PMID 17197859. Unknown parameter
|month=
ignored (help) - ↑ S. L. Orebaugh (1992). "Venous air embolism: clinical and experimental considerations". Critical care medicine. 20 (8): 1169–1177. PMID 1643897. Unknown parameter
|month=
ignored (help) - ↑ Marek A. Mirski, Abhijit Vijay Lele, Lunei Fitzsimmons & Thomas J. K. Toung (2007). "Diagnosis and treatment of vascular air embolism". Anesthesiology. 106 (1): 164–177. PMID 17197859. Unknown parameter
|month=
ignored (help) - ↑ S. L. Orebaugh (1992). "Venous air embolism: clinical and experimental considerations". Critical care medicine. 20 (8): 1169–1177. PMID 1643897. Unknown parameter
|month=
ignored (help)