Presentation
Thromboembolism of the limb arteries was present in 12 (4.5%) cases. [ncbi.nlm.nih.gov]
Entire Body System
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Gangrene
Twelve patients did not present until the affected limb(s) were in established gangrene. Thirty-two embolectomies were performed on 25 patients. Only 10 of these patients were discharged well with their limbs intact. [ncbi.nlm.nih.gov]
(B) Gangrene of the toes resulting from severe arterial ischemia. (C) Ulcer from venous stasis. FIGURE 28-17 (A) Ulcers resulting from arterial emboli. (B) Gangrene of the toes resulting from severe arterial ischemia. (C) Ulcer from v... [5minuteconsult.com]
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Coronary Atherosclerosis
Peripheral arterial disease and progression of coronary atherosclerosis. J Am Coll Cardiol. 2011 Mar 8. 57(10):1220-5. [Medline]. Nakata S, Yokoi Y, Matsumoto R, et al. [medscape.com]
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Euthyroid
Twelve incidents occurred with active thyrotoxicosis, three on reversion to sinus rhythm, and 11 after the patients were euthyroid. [ncbi.nlm.nih.gov]
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Walking with a Cane
The later progress of the patient's condition was favourable, with progressive improvement of the paraparesis after rehabilitation and, 6 months later, the patient is able to walk with a cane. [elsevier.es]
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Gangrene of the Toe
(B) Gangrene of the toes resulting from severe arterial ischemia. (C) Ulcer from venous stasis. FIGURE 28-17 (A) Ulcers resulting from arterial emboli. (B) Gangrene of the toes resulting from severe arterial ischemia. (C) Ulcer from v... [5minuteconsult.com]
Cardiovascular
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Cyanosis
Warning symptoms of a pulmonary embolism may involve: cough fainting cyanosis chest pain rapid pulse hemoptysis leg swelling low grade fever swollen neck veins breathing difficulty lung fluid build-up movement, breathing pain An arterial emboli event [healthblurbs.com]
[…] gas embolism after diving include: joint or muscle pain low blood pressure, which may cause dizziness an irregular heartbeat breathlessness and fast breathing blurred vision chest pain strong feelings of anxiety itchy skin a blue tinge to the skin (cyanosis [nhs.uk]
Other signs and symptoms that can occur with pulmonary embolism include: Leg pain or swelling, or both, usually in the calf Clammy or discolored skin (cyanosis) Fever Excessive sweating Rapid or irregular heartbeat Lightheadedness or dizziness When to [mayoclinic.org]
The classic description of acute occlusion of a lower limb artery is of acute pain with sudden onset, cyanosis, paresthesia, paralysis, cold, pallor, and absent pulses distal to the site of occlusion (Figure 2). [intechopen.com]
Skin
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Splinter Hemorrhage
Can also get microangiopathic hemolytic anemias like TTP/HUS, HELLP, and in Catastrophic APS (see below) Skin manifestations are common and include splinter hemorrhages, livedo reticularis, skin necrosis/infarction and digital gangrene. [errolozdalga.com]
Disseminated cholesterol emboli may produce a systemic illness with livedo reticularis of the lower limbs and splinter hemorrhages of the nails [33]. Atheroembolism leads to multifocal ischemic lesions and progressive tissue loss [34] (Figure 1). [intechopen.com]
Musculoskeletal
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Leg Pain
Seven days later, he experienced sudden left leg pain and sensory disturbance. Arteriography revealed right popliteal artery occlusion. Thrombus aspiration and percutaneous transluminal angioplasty were performed for recanalization. [jcdronline.org]
Within all the people who go to their doctor with peripheral arterial embolism, 70% report having leg pain, 53% report having loss of sensation, and 37% report having leg swelling. [symcat.com]
According to Dr T’s notes, Mr J consulted him again three days afterwards, and co-codamol was prescribed for his leg pains. The following day, Dr T visited Mr J at home. [medicalprotection.org]
Acute leg pain correlated with a cool distal extremity, diminished or absent distal pulses, and an ankle blood pressure less than 50 mm Hg should prompt consideration of emergent surgical referral. [medscape.com]
Other signs and symptoms that can occur with pulmonary embolism include: Leg pain or swelling, or both, usually in the calf Clammy or discolored skin (cyanosis) Fever Excessive sweating Rapid or irregular heartbeat Lightheadedness or dizziness When to [mayoclinic.org]
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Muscle Tenderness
This is why muscle tenderness is one of the end-stage signs of acute leg ischemia [7] Table 1 shows the lower limb emboli sources. [intechopen.com]
Neurologic
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Hyperalgesia
In the postoperative period, bilateral paraparesis persisted and was more pronounced in the right extremity, in association with intense hyperalgesia and persistence of the occlusion of the distal trunks in LLE, with no other associated signs of ischaemia [elsevier.es]
Urogenital
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Flank Pain
The most common symptom was either abdominal or left flank pain (80% of episodes), while the most common sign was upper left quadrant tenderness (35% of episodes) [ 15 ]. [intjem.biomedcentral.com]
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Dysuria
The patient had no dysuria and there was no evidence of diabetes. The intramural gas collections of the bladder wall, as shown by CT, were compatible with emphysematous cystitis. Urine samples proved infection by a multi-resistant strain of E. coli. [ncbi.nlm.nih.gov]
Workup
Autoimmune workup to look for vasculitis is reasonable if this workup is negative. Hypercoagulable workup should be really limited to the ones that cause arterial thrombosis – see below. II. [errolozdalga.com]
She was discharged on Warfarin with a plan for full hypercoagulation workup after discontinuing the Warfarin in 6 months with a potential need for long life anticoagulation pending the workup. [hindawi.com]
Given her age, bilateral proximal vasculopathy, and negative secondary workup, she was diagnosed with moyamoya disease. [frontiersin.org]
However, he did not undergo a formal pulmonological workup, including bronchial provocation challenges (eg, to rule out exercise induced bronchoconstriction). [pediatrics.aappublications.org]
In young patients a vasculitis and/or hypercoagulable workup should be performed. In older patients, an embolic workup should be performed. [eyewiki.aao.org]
Treatment
In patients with acute peripheral ischaemia, surgical treatment is usually the procedure of choice, but in some circumstances some of these patients cannot benefit from the surgical treatment. [ncbi.nlm.nih.gov]
Prognosis
It was concluded that the prognosis for arterial embolism was very poor. This result needs to be improved and recommendations are made to achieve this. [ncbi.nlm.nih.gov]
Etiology
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. [icd10coded.com]
Use Additional Use Additional Help Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. [icd10data.com]
Atrial fibrillation (AF) holds an important place in upper extremity acute arterial occlusion, but other etiological factors such as malignancy is necessary to not forget. [bibliomed.org]
The incidence of limb embolism in mitral stenosis is analyzed as well as the aspects of general etiology. FULL TEXT [annals.org]
Etiology A myriad of etiologies can lead to arterial gas embolism. Typically it is associated with severe decompression sickness during the ascent phase of diving. [statpearls.com]
Epidemiology
2][2] Blockage of arteries that supply arms or legs may result in necrosis and gangrene[1] Temporary or permanent decrease or loss of other organ functions[2] In septic embolism, there can be infection of the affected tissue or even septic shock,[2] Epidemiology [en.wikipedia.org]
1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 Subjects Arrhythmia and Electrophysiology Basic, Translational, and Clinical Research Critical Care and Resuscitation Epidemiology [ahajournals.org]
Pathophysiology
Key words: Upper extremity, acute arterial occlusions, embolectomy Article Language: Turkish English Advertisement Journal of Molecular Pathophysiology SUBMIT YOUR ARTICLE NOW ScopeMed.com BiblioMed Home Follow ScopeMed on Twitter Author Tools eJPort [bibliomed.org]
Although they may clinically present in a similar fashion, the underlying pathophysiology of the two conditions is quite different. References 1 Blick G. Notes on diver's paralysis. Br Med J 2: 1796–1798, 1909. [journals.physiology.org]
The pathophysiological effects of an arterial gas embolism depend on the location of the embolism. [statpearls.com]
The clot can then move to an artery and cause arterial embolisation.[2] Pathophysiology[edit] An arterial embolism is caused by one or more emboli getting stuck in an artery and blocking blood flow, causing ischemia, possibly resulting in infarction with [en.wikipedia.org]
The pathophysiology of aortic thrombi is not well -defined. [revespcardiol.org]
Prevention
For prevention of recurrent arterial embolism in cases without an initially apparent cause and site of origin, a thorough diagnostic, and in a given patient, an aggressive surgical approach for the elimination of the embolic source are advocated. [ncbi.nlm.nih.gov]
Prevention Prevention begins with finding possible sources of a blood clot. Your provider may prescribe blood thinners (such as warfarin or heparin) to prevent clots from forming. Antiplatelet drugs may also be needed. [stlukes-stl.com]
The cause of the clot, if found, should be treated to prevent further problems. [medlineplus.gov]