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Which of the following is associated with chest pain, confusion, and petechiae?

A. Dissecting aneurysm
B. Fat embolism
C. Pneumothorax
D. Myocardial infarction

1 Answer

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Final answer:

The combination of chest pain, confusion, and petechiae is typically associated with a fat embolism, which occurs when fat droplets obstruct small blood vessels and lead to tissue ischemia and inflammation.

Step-by-step explanation:

The symptoms of chest pain, confusion, and petechiae are associated with a condition known as fat embolism. A fat embolism typically occurs when fat enters the bloodstream and travels to the lungs, leading to these symptoms. It can be due to trauma or orthopedic surgeries, among other causes. Symptoms can include chest pain, shortness of breath, confusion, and petechiae, which are small red or purple spots caused by bleeding into the skin. These symptoms arise because fat droplets can obstruct small blood vessels, leading to tissue ischemia and inflammation.

While dissecting aneurysm, pneumothorax (spontaneous pneumothorax: collapsed lung), and myocardial infarction (heart attack) can also cause chest pain or confusion, unlike fat embolism they are not commonly associated with petechiae. A myocardial infarction typically presents with chest pain, difficulty breathing, and may not show petechiae. Vasculitis could involve such petechiae, however, the other symptoms like chest pain and confusion are not as directly related as they are with a fat embolism.

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