Gangrene physical examination: Difference between revisions
Tag: Undo |
|||
| Line 12: | Line 12: | ||
===General Appearance=== | ===General Appearance=== | ||
*[[Patient]] with [[gangrene]] usually appears [[conscious]], [[coherent]], and not in [[cardiorespiratory distress]]. | *[[Patient]] with [[gangrene]] usually appears [[conscious]], [[coherent]], and not in [[cardiorespiratory distress]]. | ||
===Vital Signs=== | ===Vital Signs=== | ||
*[[Blood pressure]] is usually low. | *[[Blood pressure]] is usually low. | ||
===HEENT=== | ===HEENT=== | ||
| Line 28: | Line 26: | ||
*[[Throat]]: [[Throat]] can be normal. | *[[Throat]]: [[Throat]] can be normal. | ||
===Chest/Lungs=== | ===Chest/Lungs=== | ||
*[[Gangrene]] can lead to [[sepsis]] which may manifest with decreased [[chest expansion]], and decreased [[breath sounds]]. | *[[Gangrene]] can lead to [[sepsis]] which may manifest with decreased [[chest expansion]], and decreased [[breath sounds]]. | ||
===Cardiovascular=== | ===Cardiovascular=== | ||
*[[Gangrene]] can lead to [[sepsis]] which may manifest with [[dynamic precordium]], [[[irregular heart rate]], [[irregular rhythm]], and with [[heart murmurs]]. | *[[Gangrene]] can lead to [[sepsis]] which may manifest with [[dynamic precordium]], [[[irregular heart rate]], [[irregular rhythm]], and with [[heart murmurs]]. | ||
===Abdomen=== | ===Abdomen=== | ||
*[[Patients]] usually has no pertinent findings. | *[[Patients]] usually has no pertinent findings. | ||
===Skin/Extremities=== | ===Skin/Extremities=== | ||
| Line 52: | Line 44: | ||
</gallery> | </gallery> | ||
Image:extremities_toe_gangrene2.jpg|Patient with peripheral vascular disease that has | Image:extremities_toe_gangrene2.jpg|Patient with a peripheral vascular disease that has led to infarct of several toes. | ||
Image:extremities_toe_no_gangrene2.jpg|Same patient. Normal left foot for comparison. | Image:extremities_toe_no_gangrene2.jpg|Same patient. Normal left foot for comparison. | ||
| Line 63: | Line 55: | ||
Image:extremities_toe_gangrene2.jpg|Patient with a peripheral vascular disease that has led to an infarct of several toes. | |||
Image:extremities_toe_gangrene2.jpg|Patient with peripheral vascular disease that has | |||
Image:extremities_toe_no_gangrene2.jpg|Same patient. Normal left foot for comparison. | Image:extremities_toe_no_gangrene2.jpg|Same patient. Normal left foot for comparison. | ||
| Line 76: | Line 67: | ||
<div align="left"> | <div align="left"> | ||
<gallery heights="175" widths="175"> | <gallery heights="175" widths="175"> | ||
Image:AUTOAMPUTATE1.JPG|Diabetic with severe infection and loss of toes - wet gangrene in center. <br> (Image courtesy of Charlie Goldberg, M.D., UCSD School of Medicine and VA Medical Center, San Diego, CA) | Image:AUTOAMPUTATE1.JPG|Diabetic with severe infection and loss of toes - wet gangrene in the center. <br> (Image courtesy of Charlie Goldberg, M.D., UCSD School of Medicine and VA Medical Center, San Diego, CA) | ||
</gallery> | </gallery> | ||
</div> | </div> | ||
Revision as of 07:27, 8 April 2022
|
Gangrene Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
|
Gangrene physical examination On the Web |
|
American Roentgen Ray Society Images of Gangrene physical examination |
|
Risk calculators and risk factors for Gangrene physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Edzel Lorraine Co, D.M.D., M.D.
Overview
Patients with gangrene may have varying presentations depending on the type of gangrene they have.
Physical Examination
Patients with gangrene may have varying presentations depending on the type of gangrene they have.
General Appearance
- Patient with gangrene usually appears conscious, coherent, and not in cardiorespiratory distress.
Vital Signs
- Blood pressure is usually low.
HEENT
- Head: Head can be normocephalic.
Chest/Lungs
- Gangrene can lead to sepsis which may manifest with decreased chest expansion, and decreased breath sounds.
Cardiovascular
- Gangrene can lead to sepsis which may manifest with dynamic precordium, [[[irregular heart rate]], irregular rhythm, and with heart murmurs.
Abdomen
- Patients usually has no pertinent findings.
Skin/Extremities
Dry Gangrene
- The affected part is dry, shrunken and dark black, resembling mummified flesh.
Image:extremities_toe_gangrene2.jpg|Patient with a peripheral vascular disease that has led to infarct of several toes.
Image:extremities_toe_no_gangrene2.jpg|Same patient. Normal left foot for comparison. </gallery>
(Image courtesy of Charlie Goldberg, M.D., UCSD School of Medicine and VA Medical Center, San Diego, CA)
-
Patient with a peripheral vascular disease that has led to an infarct of several toes.
-
Same patient. Normal left foot for comparison.
(Images courtesy of Charlie Goldberg, M.D., UCSD School of Medicine and VA Medical Center, San Diego, CA)
Wet Gangrene
The affected part is edematous, soft, putrid, rotten and dark.
-
Diabetic with severe infection and loss of toes - wet gangrene in the center.
(Image courtesy of Charlie Goldberg, M.D., UCSD School of Medicine and VA Medical Center, San Diego, CA)
Gas Gangrene
Gas gangrene can cause necrosis and gas production.