FES: Criteria for Diagnosis

- Discussion: - Dx of FES requires at least one sign from major criteria and at least four signs from the minor criteria category; - Gurd's Major Criteria: - axillary or subconjuctival petechia - occurs transiently (4-6 hours) in 50-60 % of the cases; - hypoxemia (PaO sub 2, <60 mmHg; FiO sub 2, <= 0.4) - central nervous system (CNS) depression disproportionate to hypoxemia, and pulmonary edema; - Gurd's Minor Criteria: - tachycardia (more than 110 beats per minute) - pyrexia (temperature higher than 38.5 degrees) - emboli present in retina on funduscopic examination - fat present in urine - sudden unexplainable drop in hematocrit or platelet values - increasing sed rate; - fat globules present in sputum; - Misc: - occurs w/in 72 hours of skeletal trauma; - shortness of breath; - altered mental status; - occasional long tract signs and posturing; - urinary incontinence;