Necrotizing fasciitis physical examination: Difference between revisions
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| Tenderness to palpation (extending beyond the apparent area of skin involvement) <br>Erythema <br>Swelling <br> Warm to palpation | | *Tenderness to palpation (extending beyond the apparent area of skin involvement) <br> *Erythema <br> *Swelling <br> *Warm to palpation | ||
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| Blister or bullae formation (serous fluid) <br>Skin fluctuance <br>Skin induration | | *Blister or bullae formation (serous fluid) <br> *Skin fluctuance <br> *Skin induration | ||
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| Hemorrhagic bullae <br>Skin anesthesia <br>Crepitus <br>Skin necrosis with dusky discoloration progressing to frank gangrene | | *Hemorrhagic bullae <br>*Skin anesthesia <br>*Crepitus <br>*Skin necrosis with dusky discoloration progressing to frank gangrene | ||
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Revision as of 21:09, 8 September 2016
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Necrotizing fasciitis Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Necrotizing fasciitis physical examination On the Web |
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American Roentgen Ray Society Images of Necrotizing fasciitis physical examination |
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Risk calculators and risk factors for Necrotizing fasciitis physical examination |
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 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 lymphangiitis or lymphadenopathy
- Sensory and motor deficits (e.g. localized anesthesia)
| Stage
(Early) |
Signs |
|---|---|
| Early | *Tenderness to palpation (extending beyond the apparent area of skin involvement) *Erythema *Swelling *Warm to palpation |
| Intermediate | *Blister or bullae formation (serous fluid) *Skin fluctuance *Skin induration |
| Late | *Hemorrhagic bullae *Skin anesthesia *Crepitus *Skin necrosis with dusky discoloration progressing to frank gangrene |