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EMBOLISM
DR N MANJULA
Agenda
EMBOLISM
PULMONARY
EMBOLISM
TAMPONADE
SUMMARY
EMBOLISM
Detached intravascular
solid / liquid / gaseous mass
that is carried by blood to a
distant site from point of
origin.
20XX presentation title 4
Definition - Pulmonary embolism (PE)
It is an embolism in which emboli
occlude pulmonary arterial tree.
20XX presentation title 5
Pulmonary Thromboembolism
Most fatal form of venous
embolism in which there is
occlusion of the pulmonary
arterial tree.
More than 95% of the cases –
Venous emboli originate –
DVT of LowerLimb.
20XX presentation title 6
PE
They are carried through
larger channels & usually
pass through the right side
of heart into the pulmonary
vasculature.
20XX presentation title 7
Site of Origin of Emboli
• Deep leg veins: DVTs are the source in
more than 95% of cases of pulmonary
emboli.
• Deep leg veins include popliteal,
femoral or iliac veins.
• Other sites: Pelvic veins, vena cava.
20XX presentation title 8
20XX presentation title 9
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.
20XX presentation title 10
Mechanism
20XX presentation title 11
DVTs
undergo
fragmentati
on
Thromboem
boli -
carried
through
larger
vascular
channels
right side of
the heart
right
ventricle
pulmonary
arterial
vasculature
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.
20XX presentation title 12
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.
20XX presentation title 13
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.
20XX presentation title 14
20XX presentation title 15
CONSEQUENCES
1. Pulmonary infarction
2. Pulmonary hemorrhage
3. Pulmonary hypertension
20XX presentation title 16
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.
20XX presentation title 17
Compression of the heart due
to pericardial effusion
20XX presentation title 18
20XX presentation title 19
Causes of cardiac tamponade
MYOCARDIAL INFARCTION
CHEST TRAUMA
PERICARDITIS
KIDNEY FAILURE CANCER
Symptoms
SHORTNESS OF BREATH
LIGHTHEADEDNESS
WEAKNESS
COUGH
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 convergence​
CLOUD-BASED OPPORTUNITIES
o Iterative approaches to corporate strategy
o Establish a management framework from the inside
20XX presentation title 22
20XX presentation title 23
SUMMARY
20XX presentation title 24
20XX presentation title 25
THANK YOU

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