Gangrene physical examination

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Edzel Lorraine Co, D.M.D., M.D.

Physical Examination

Vitals

Blood Pressure

Low blood pressure is seen.

Extremities

Dry Gangrene

The affected part is dry, shrunken and dark black, resembling mummified flesh.

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  Diabetic ulceration with central "dry" gangrene and toward the edges wet gangrene with some ascending cellulitis
  (Image courtesy of Charlie Goldberg, M.D., UCSD School of Medicine and VA Medical Center, San Diego, CA)

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  Patient with peripheral vascular disease that has lead to infarct of several toes.

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  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.

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  Diabetic with severe infection and loss of toes - wet gangrene in 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.

References

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