Necrotizing fasciitis physical examination: Difference between revisions
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Patients with necrotizing fasciitis appear fatigued during early stages and may have altered mental status during late stages. In end stage necrotizing fasciitis, patients exhibit signs of septic shock. | Patients with necrotizing fasciitis appear fatigued during early stages and may have altered mental status during late stages. In end stage necrotizing fasciitis, patients exhibit signs of septic shock. | ||
'''Vital signs''' | '''Vital signs''' | ||
Revision as of 18:03, 7 September 2016
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Yamuna Kondapally, M.B.B.S[2]
Overview
Physical Examination
Common physical examination findings associated with necrotizing fasciitis may include:
Appearance of the patient
Patients with necrotizing fasciitis appear fatigued during early stages and may have altered mental status during late stages. In end stage necrotizing fasciitis, patients exhibit signs of septic shock.
Vital signs
- Fever (is often absent)
- Tachycardia
- Low blood pressure
- Tachypnea
Skin
- Jaundice
- Evidence of trauma, surgery, insect or human bites, or injection sites
Local examination
- Induration
- Warmth
- Tenderness
- Swelling
- Erythema
- Blistering/bullae
- Skin discoloration
- Foul discharge
- Fluctuance
- Crepitus
- Skin sloughing or necrosis
- Sensory and motor deficits (e.g. localized anesthesia)