Necrotizing fasciitis other diagnostic studies: Difference between revisions
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==Overview== | ==Overview== | ||
Finger probe test is useful in the diagnosis of necrotizing fasciitis.<ref name="pmid19826154">{{cite journal| author=Puvanendran R, Huey JC, Pasupathy S| title=Necrotizing fasciitis. | journal=Can Fam Physician | year= 2009 | volume= 55 | issue= 10 | pages= 981-7 | pmid=19826154 | doi= | pmc=2762295 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19826154 }} </ref> | |||
==Other Diagnostic Studies== | ==Other Diagnostic Studies== | ||
===Finger Probe Test=== | |||
*Finger probe test is useful in the diagnosis of necrotizing fasciitis.<ref name="pmid19826154">{{cite journal| author=Puvanendran R, Huey JC, Pasupathy S| title=Necrotizing fasciitis. | journal=Can Fam Physician | year= 2009 | volume= 55 | issue= 10 | pages= 981-7 | pmid=19826154 | doi= | pmc=2762295 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19826154 }} </ref> | |||
====Procedure==== | |||
:*This test is carried out in the ward, emergency room and in the theatre under [[Anesthesia|local]] or [[general anesthesia]]. | |||
:*After infiltrating the area, a 2cm incision is made down to the [[fascia|deep fascia]]. | |||
:*Fascia will be swollen and grey on gross inspection. | |||
:*Gentle probing with index finger is performed at the level of deep fascia and if the tissue dissects with the minimal resistance, then finger probe test is considered positive. | |||
:*Signs suggesting necrotizing fasciitis include: | |||
:**Lack of [[bleeding]] | |||
:**Lack of normal tissue resistance on finger probe | |||
:**Oozing of malodorous "dish water fluid" | |||
=== | <gallery> | ||
Image:NF.jpg|Necrotizing fasciitis involving leg<ref name="pmid24459334">{{cite journal| author=Sadasivan J, Maroju NK, Balasubramaniam A| title=Necrotizing fasciitis. | journal=Indian J Plast Surg | year= 2013 | volume= 46 | issue= 3 | pages= 472-8 | pmid=24459334 | doi=10.4103/0970-0358.121978 | pmc=3897089 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24459334 }} </ref> | |||
Image:NF2.jpg|Necrotizing fasciitis appearing as patchy necrosis<ref name="pmid24459334">{{cite journal| author=Sadasivan J, Maroju NK, Balasubramaniam A| title=Necrotizing fasciitis. | journal=Indian J Plast Surg | year= 2013 | volume= 46 | issue= 3 | pages= 472-8 | pmid=24459334 | doi=10.4103/0970-0358.121978 | pmc=3897089 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24459334 }} </ref> | |||
</gallery> | |||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
Revision as of 18:06, 28 November 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
Finger probe test is useful in the diagnosis of necrotizing fasciitis.[1]
Other Diagnostic Studies
Finger Probe Test
- Finger probe test is useful in the diagnosis of necrotizing fasciitis.[1]
Procedure
- This test is carried out in the ward, emergency room and in the theatre under local or general anesthesia.
- After infiltrating the area, a 2cm incision is made down to the deep fascia.
- Fascia will be swollen and grey on gross inspection.
- Gentle probing with index finger is performed at the level of deep fascia and if the tissue dissects with the minimal resistance, then finger probe test is considered positive.
- Signs suggesting necrotizing fasciitis include:
- Lack of bleeding
- Lack of normal tissue resistance on finger probe
- Oozing of malodorous "dish water fluid"
![Necrotizing fasciitis involving leg[2]](/index.php/File:NF.jpg)
![Necrotizing fasciitis appearing as patchy necrosis[2]](/index.php/File:NF2.jpg)
References
- ↑ 1.0 1.1 Puvanendran R, Huey JC, Pasupathy S (2009). "Necrotizing fasciitis". Can Fam Physician. 55 (10): 981–7. PMC 2762295. PMID 19826154.
- ↑ 2.0 2.1 Sadasivan J, Maroju NK, Balasubramaniam A (2013). "Necrotizing fasciitis". Indian J Plast Surg. 46 (3): 472–8. doi:10.4103/0970-0358.121978. PMC 3897089. PMID 24459334.