5. Definition - Pulmonary embolism (PE)
It is an embolism in which emboli
occlude pulmonary arterial tree.
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6. Pulmonary Thromboembolism
Most fatal form of venous
embolism in which there is
occlusion of the pulmonary
arterial tree.
More than 95% of the cases ā
Venous emboli originate ā
DVT of LowerLimb.
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7. PE
They are carried through
larger channels & usually
pass through the right side
of heart into the pulmonary
vasculature.
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8. Site of Origin of Emboli
ā¢ Deep leg veins: DVTs are the source in
more than 95% of cases of pulmonary
emboli.
ā¢ Deep leg veins include popliteal,
femoral or iliac veins.
ā¢ Other sites: Pelvic veins, vena cava.
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10. Risk of pulmonary
embolism
Major risk factor is after surgery.
The risk increases with:-
advancing age, obesity, prolonged
operative procedure, postoperative
infection, cancer, and pre-existing
venous disease.
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11. Mechanism
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DVTs
undergo
fragmentati
on
Thromboem
boli -
carried
through
larger
vascular
channels
right side of
the heart
right
ventricle
pulmonary
arterial
vasculature
12. EFFECTS OF PE
The effects of PE depend on:
1.Size of the emboli
2.Presence of Presence or
absence of pulmonary
congestion at the time of
impaction.
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13. Fate of Pulmonary
Embolism
Fate depends on the size of the embolus.
1. Resolution or organization: Small pulmonary emboli may
travel into
the smaller branches of pulmonary arteries and may resolve
completely.
2. Massive pulmonary embolism: When emboli obstruct 60% or
more
of the pulmonary circulation, it is known as massive pulmonary
embolism.
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14. SADDLE EMBOLUS
It is a large pulmonary
embolus which lodges at the
bifurcation of the main
pulmonary artery. It
produces acute massive
obstruction of the blood flow to
both lungs.
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17. CARDIAC
TAMPONADE
Cardiac tamponade is a medical
emergency that takes place when
abnormal amounts of fluid
accumulate in the pericardial sac
compressing the heart and leading
to a decrease in cardiac output
and shock.
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Compression of the heart due
to pericardial effusion
22. areas of focus
B2B MARKET SCENARIOS
o Develop winning strategies to keep ahead of the competition
o Capitalize on low-hanging fruit to identify a ballpark value
o Visualize customer directed convergenceā
CLOUD-BASED OPPORTUNITIES
o Iterative approaches to corporate strategy
o Establish a management framework from the inside
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