Fournier gangrene physical examination: Difference between revisions
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==Overview== | ==Overview== | ||
In the physical examination of Fournier gangrene, the patients with Fournier gangrene usually appear to be ill. *[[Tachycardia]] and [[hypotension]] are mostly present and the skin may show evidence of trauma, surgery, insect or human bites, or injection sites. Ppalpation of [[genitalia]] and [[perineum]], and [[digital rectal examination]] may reveal [[induration]], eryhthema, [[swelling]], erythema with ill defined margins, [[blister|blistering]]/bullae, skin discoloration, foul discharge (greyish or brown discharge), and fluctuance | |||
==Physical examination== | |||
The physical examination of Fournier gangrene include: | |||
'''Appearance of the Patient''' | |||
The patients with Fournier gangrene usually appear to be ill. | |||
'''Vitals''' | |||
*[[Fever]] (is often absent) | |||
*[[Tachycardia]] | |||
*[[Hypotension]] | |||
*[[Tachypnea]] | |||
'''Skin''' | |||
*[[Jaundice]] | |||
*Evidence of trauma, surgery, insect or human bites, or injection sites | |||
'''Local examination''' | |||
Local examination of patient under [[local anesthesia]] includes palpation of [[genitalia]] and [[perineum]], and [[digital rectal examination]]. | |||
*[[Induration]] | |||
*Warmth | |||
*Tenderness beyond margins of [[erythema]] | |||
*[[Swelling]] | |||
*Erythema with ill defined margins | |||
*[[Blister|Blistering]]/bullae | |||
*Skin discoloration | |||
*Foul discharge (greyish or brown discharge) | |||
*Fluctuance | |||
*[[Crepitus]] | |||
*Skin sloughing or [[necrosis]] | |||
*Absence of [[lymphangitis]] or [[lymphadenopathy]] ([[lymphangitis]] is rarely seen in Fournier gangrene) | |||
*Sensory and motor deficits (e.g. [[Anesthesia|localized anesthesia]]) | |||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
[[Category:Emergency mdicine]] | |||
[[Category:Disease]] | |||
[[Category:Up-To-Date]] | |||
[[Category:Infectious disease]] | |||
[[Category:Surgery]] | |||
[[Category:Orthopedics]] | |||
[[Category:Dermatology]] | |||
Latest revision as of 21:47, 29 July 2020
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Fournier gangrene Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Fournier gangrene physical examination On the Web |
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American Roentgen Ray Society Images of Fournier gangrene physical examination |
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Risk calculators and risk factors for Fournier gangrene physical examination |
Steven C. Campbell, M.D., Ph.D.; Associate Editor(s)-in-Chief: Yamuna Kondapally, M.B.B.S[1]; Jesus Rosario Hernandez, M.D. [2]
Overview
In the physical examination of Fournier gangrene, the patients with Fournier gangrene usually appear to be ill. *Tachycardia and hypotension are mostly present and the skin may show evidence of trauma, surgery, insect or human bites, or injection sites. Ppalpation of genitalia and perineum, and digital rectal examination may reveal induration, eryhthema, swelling, erythema with ill defined margins, blistering/bullae, skin discoloration, foul discharge (greyish or brown discharge), and fluctuance
Physical examination
The physical examination of Fournier gangrene include:
Appearance of the Patient
The patients with Fournier gangrene usually appear to be ill.
Vitals
- Fever (is often absent)
- Tachycardia
- Hypotension
- Tachypnea
Skin
- Jaundice
- Evidence of trauma, surgery, insect or human bites, or injection sites
Local examination
Local examination of patient under local anesthesia includes palpation of genitalia and perineum, and digital rectal examination.
- Induration
- Warmth
- Tenderness beyond margins of erythema
- Swelling
- Erythema with ill defined margins
- Blistering/bullae
- Skin discoloration
- Foul discharge (greyish or brown discharge)
- Fluctuance
- Crepitus
- Skin sloughing or necrosis
- Absence of lymphangitis or lymphadenopathy (lymphangitis is rarely seen in Fournier gangrene)
- Sensory and motor deficits (e.g. localized anesthesia)