RV dilation and TR associated with PE
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General Critical Care
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Mazen Kherallah
Jun 11
Paraplegic patient secondary to traumatic spinal injury with large amount of right main bronchial secretions causing right lung volume loss. Opened up after clearing all secretions. Required multiple bronchoscopies.
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In Disseminated Intravascular Coagulation (DIC), patients may present with both necrotic and hemorrhagic skin lesions, reflecting the complex and severe nature of this condition. The necrotic lesions arise from widespread microthrombi formation in small blood vessels, leading to impaired blood flow and subsequent tissue death, manifesting as purplish, black, or red patches on the skin. Concurrently, hemorrhagic lesions occur due to the significant depletion of platelets and clotting factors, a result of the excessive clotting process, leading to spontaneous bleeding under the skin. These may appear as petechiae, purpura, or ecchymoses, scattered across various parts of the body.
@Everyone
Chest X-ray with right lower/middle lobe infiltrate
Turned out to be effusion in the minor fissure on the CT scan.
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LOOKS LIKE AIR BUBBLES MORE THAN SMOOKY FLOW?
IF YOU SCAN THE IVC TO SEE WHER THEY COM FROM