Biomedical subjects
Publications and source records attributed to S S Tachakra.
A patient who sustained exceptionally severe damage to the main blood vessels and to the collateral circulation of his left lower limb is reported. The femoropopliteal vein was replaced by a Dacron prosthesis which remained patent for 6 weeks until an adequate collateral circulation was established.
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When patients in whom a fat embolism rash developed were nursed on their left side fresh petechiae appeared on the right side and vice versa. The appearance of petechiae on the least dependent site is consistent with the skimming off of floating fat emboli in the blood and their selective distribution by the branches arising from the top of the aortic arch.
Second episodes of clinical fat embolism have not previously been reported. This paper presents the case report of a patient with multiple fractures who developed two distinct attacks with a symptom-free interval. The second attack was partly responsible for death, and histological examination confirmed the diagnosis.
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