1 / 12

CRUSH SYNDROME ICD 10: T79.5

CRUSH SYNDROME ICD 10: T79.5. Mohit Chhabra Roll no. : 47. OBJECTIVES. Define and understand the pathophysiology of Crush Syndrome Clinical diagnosis and relevant investigation Management. A Case of Crush Syndrome…. Clinical Features.

ama
Télécharger la présentation

CRUSH SYNDROME ICD 10: T79.5

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. CRUSH SYNDROMEICD 10: T79.5 MohitChhabra Roll no. : 47

  2. OBJECTIVES • Define and understand the pathophysiology of Crush Syndrome • Clinical diagnosis and relevant investigation • Management

  3. A Case of Crush Syndrome….

  4. Clinical Features • Lower limb injury with pain and swelling, which later on developed anesthesia and motor disturbance • Signs of hypovolemic shock • Tea-colored urine, maybe oliguria • Nausea and confusion Pathophysiology

  5. On Investigating further…. • Hyperkalemia & hypocalcaemia • ECG changes secondary to hyperkalemia • Metabolic acidosis • Raised Creatine Kinase • Elevated UREA and CREATININE • Myoglobinuria • Evidence of D.I.C.

  6. Diagnosis: Crush Syndrome Definition: • A severe, often fatal condition that follows a severe crushing injury, particularly involving large muscle masses, characterized by fluid and blood loss, shock, hematuria, and renal failure. Also known as compression syndrome.(McGraw Hill Dictionary) • In a nutshell: TRAUMATIC RHABDOMYOLYSIS due to crushing • Also known as Bywaters Syndrome/ Reperfusion injury

  7. PATHOPHYSIOLOGY Clinical Features

  8. KIDNEY IS IN DANGER AS SOON AS WE RELIEVE THE COMPRESSION Renal hypoperfusion + Renal Tubular Necrosis = Renal Failure

  9. MANAGEMENT • Initial Management: • Follow the usual criteria of A-B-C as injuries are massive and high chances of poly-trauma • Early and rapid rehydration • Venous access preferably before the limb is decompressed • CVP and urinary catheterization for monitoring

  10. Further Management • Large amount of saline infusion with forced diuresis • Debridement of crushed tissue and a fasciotomy for compartment syndrome • Dialysis if renal failure sets in • Amputation as the last resort if massive limb injury is there and we have to prevent crush syndrome

More Related