{"pk":997,"title":"Ultrasonographic Findings in Fat Embolism Syndrome","subtitle":null,"abstract":"Case Presentation:\n A 93-year-old man living in a nursing home presented to our emergency department with altered mental status. Examination revealed hypotension and severe hypoxia. Chest radiograph showed infiltrates in the right upper lobe, and computed tomography of the abdomen and pelvis demonstrated a left femoral neck fracture. A point-of-care transthoracic echocardiogram (TTE) revealed an enlarged right ventricle, severe tricuspid regurgitation, and numerous white floating dots moving toward the right atrium from the inferior vena cava (IVC), leading to the diagnosis of fat embolism syndrome (FES).\nDiscussion:\n Although imaging studies can facilitate diagnosis, the diagnosis of FES is typically made by clinical history and presentation, making a swift diagnosis often difficult in those who are critically ill. Recent case reports have described that TTE can detect fat emboli, seen as flowing hyperechoic particles in IVC. This image demonstrates the utility of TTE to diagnose FES.","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"fat embolism syndrome"},{"word":"ultrasonographic findings"}],"section":"Images in Emergency Medicine","is_remote":true,"remote_url":"https://escholarship.org/uc/item/0b58328v","frozenauthors":[{"first_name":"Shun","middle_name":"","last_name":"Yonezaki","name_suffix":"","institution":"Mito Kyodo General Hospital, Department of Internal Medicine, Ibaraki, Japan","department":"None"},{"first_name":"Kazuya","middle_name":"","last_name":"Nagasaki","name_suffix":"","institution":"Mito Kyodo General Hospital, Department of Internal Medicine, Ibaraki, Japan","department":"None"},{"first_name":"Hiroyuki","middle_name":"","last_name":"Kobayashi","name_suffix":"","institution":"Mito Kyodo General Hospital, Department of Internal Medicine, Ibaraki, Japan","department":"None"}],"date_submitted":"2021-03-13T01:21:40+01:00","date_accepted":"2021-03-13T01:21:40+01:00","date_published":"2021-03-13T01:22:38+01:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/uciem_cpcem/article/997/galley/744/download/"}]}