Gangrene physical examination: Difference between revisions
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{{Gangrene}} | {{Gangrene}} | ||
{{CMG}}; {{AE}} [[User:Edzelco|Edzel Lorraine Co, D.M.D., M.D.]] | {{CMG}}; {{AE}} [[User:Edzelco|Edzel Lorraine Co, D.M.D., M.D.]] | ||
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! align="center" style="background: #00CED1; width: 900px;" |{{fontcolor|#FFF|Findings}} | ! align="center" style="background: #00CED1; width: 900px;" |{{fontcolor|#FFF|Findings}} | ||
|- | |- | ||
|style="padding: 2px 2px; background: #E6E6FA; font-weight: bold" |[[General Appearance]] | | style="padding: 2px 2px; background: #E6E6FA; font-weight: bold" |[[General Appearance]] | ||
|style="padding: 2px 2px; background: #F5F5F5;" |[[Patient]] with [[gangrene]] usually appears [[conscious]], [[coherent]], and not in [[cardiorespiratory distress]]. | | style="padding: 2px 2px; background: #F5F5F5;" |[[Patient]] with [[gangrene]] usually appears [[conscious]], [[coherent]], and not in [[cardiorespiratory distress]]. | ||
|- | |- | ||
|style="padding: 2px 2px; background: #E6E6FA; font-weight: bold" |[[Vital Signs]] | | style="padding: 2px 2px; background: #E6E6FA; font-weight: bold" |[[Vital Signs]] | ||
|style="padding: 2px 2px; background: #F5F5F5;" |[[Blood pressure]] is usually low. | | style="padding: 2px 2px; background: #F5F5F5;" |[[Blood pressure]] is usually low. | ||
|- | |- | ||
|style="padding: 2px 2px; background: #E6E6FA; font-weight: bold" |[[HEENT]] | | style="padding: 2px 2px; background: #E6E6FA; font-weight: bold" |[[HEENT]] | ||
|style="padding: 2px 2px; background: #F5F5F5;" | | | style="padding: 2px 2px; background: #F5F5F5;" | | ||
*[[Head]]: [[Head]] can be [[normocephalic]]. | *[[Head]]: [[Head]] can be [[normocephalic]]. | ||
*[[Eyes]]: [[Eyes]] can be normal. | *[[Eyes]]: [[Eyes]] can be normal. | ||
*[[Ears]]:[[Ears]] can be normal. | *[[Ears]]:[[Ears]] can be normal. | ||
*[[Nose]]:[[Nose]] can be normal. | *[[Nose]]:[[Nose]] can be normal. | ||
*[[Throat]]: [[Throat]] can be normal. | *[[Throat]]: [[Throat]] can be normal. | ||
|- | |- | ||
|style="padding: 2px 2px; background: #E6E6FA; font-weight: bold" |[[Chest]] / [[Lungs]] | | style="padding: 2px 2px; background: #E6E6FA; font-weight: bold" |[[Chest]] / [[Lungs]] | ||
|style="padding: 2px 2px; background: #F5F5F5;" |[[Gangrene]] can lead to [[sepsis]] which may manifest with decreased [[chest expansion]], and decreased [[breath sounds]]. | | style="padding: 2px 2px; background: #F5F5F5;" |[[Gangrene]] can lead to [[sepsis]] which may manifest with decreased [[chest expansion]], and decreased [[breath sounds]]. | ||
|- | |- | ||
|style="padding: 2px 2px; background: #E6E6FA; font-weight: bold" |[[Cardiovascular]] | | style="padding: 2px 2px; background: #E6E6FA; font-weight: bold" |[[Cardiovascular]] | ||
|style="padding: 2px 2px; background: #F5F5F5;" |[[Gangrene]] can lead to [[sepsis]] which may manifest with [[dynamic precordium]], [[[irregular heart rate]], [[irregular rhythm]], and with [[heart murmurs]]. | | style="padding: 2px 2px; background: #F5F5F5;" |[[Gangrene]] can lead to [[sepsis]] which may manifest with [[dynamic precordium]], [[[irregular heart rate]], [[irregular rhythm]], and with [[heart murmurs]]. | ||
|- | |- | ||
|style="padding: 2px 2px; background: #E6E6FA; font-weight: bold" |[[Abdomen]] | | style="padding: 2px 2px; background: #E6E6FA; font-weight: bold" |[[Abdomen]] | ||
|style="padding: 2px 2px; background: #F5F5F5;" |[[Patients]] usually has no pertinent findings. | | style="padding: 2px 2px; background: #F5F5F5;" |[[Patients]] usually has no pertinent findings. | ||
|- | |- | ||
|style="padding: 2px 2px; background: #E6E6FA; font-weight: bold" |[[Skin]] / [[Extremities]] | | style="padding: 2px 2px; background: #E6E6FA; font-weight: bold" |[[Skin]] / [[Extremities]] | ||
|style="padding: 2px 2px; background: #F5F5F5;" |[[Patients]] usually has no pertinent findings. | | style="padding: 2px 2px; background: #F5F5F5;" |[[Patients]] usually has no pertinent findings. | ||
*Dry Gangrene | |||
*'''Dry Gangrene''' | |||
**The affected part is dry, shrunken and dark black, resembling [[mummy|mummified]] flesh.<gallery> | **The affected part is dry, shrunken and dark black, resembling [[mummy|mummified]] flesh.<gallery> | ||
</gallery> | </gallery> | ||
Image:extremities_toe_gangrene2.jpg|Patient with a peripheral vascular disease that has led to infarct of several toes. | 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. | ||
</gallery> | <nowiki></gallery></nowiki> | ||
<div align="left"> | <div align="left"> | ||
('''Image courtesy of Charlie Goldberg, M.D., UCSD School of Medicine and VA Medical Center, San Diego, CA''') | ('''Image courtesy of Charlie Goldberg, M.D., UCSD School of Medicine and VA Medical Center, San Diego, CA''') | ||
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<gallery heights="175" widths="175"> | <gallery heights="175" widths="175"> | ||
File:Extremities toe gangrene2.jpg|Patient with a peripheral vascular disease that has led to an infarct of several toes. | |||
File:Extremities toe no gangrene2.jpg|Same patient. Normal left foot for comparison. | |||
</gallery> | </gallery> | ||
</div>(Images courtesy of Charlie Goldberg, M.D., UCSD School of Medicine and VA Medical Center, San Diego, CA) | </div>(Images courtesy of Charlie Goldberg, M.D., UCSD School of Medicine and VA Medical Center, San Diego, CA) | ||
*Wet Gangrene | |||
*'''Wet Gangrene''' | |||
**The affected part is [[edematous]], soft, putrid, rotten and dark. | **The affected part is [[edematous]], soft, putrid, rotten and dark. | ||
<div align="left"> | <div align="left"> | ||
<gallery heights="175" widths="175"> | <gallery heights="175" widths="175"> | ||
File: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> | ||
*[[Gas Gangrene]] | |||
*'''[[Gas Gangrene]]''' | |||
**[[Gas gangrene]] can cause [[necrosis]] and gas production. | **[[Gas gangrene]] can cause [[necrosis]] and gas production. | ||
|- | |- | ||
|style="padding: 2px 2px; background: #E6E6FA; font-weight: bold" |[[Skin]] / [[Genitalia]] | | style="padding: 2px 2px; background: #E6E6FA; font-weight: bold" |[[Skin]] / [[Genitalia]] | ||
|style="padding: 2px 2px; background: #F5F5F5;" | | | style="padding: 2px 2px; background: #F5F5F5;" | | ||
|- | |- | ||
|style="padding: 2px 2px; background: #E6E6FA; font-weight: bold" |[[Skin]] / [[Neurologic]] | | style="padding: 2px 2px; background: #E6E6FA; font-weight: bold" |[[Skin]] / [[Neurologic]] | ||
|style="padding: 2px 2px; background: #F5F5F5;" | | | style="padding: 2px 2px; background: #F5F5F5;" | | ||
|} | |} | ||
==References== | ==References== |
Revision as of 10:57, 9 April 2022
Gangrene Microchapters |
Diagnosis |
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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.
System | Findings |
---|---|
General Appearance | Patient with gangrene usually appears conscious, coherent, and not in cardiorespiratory distress. |
Vital Signs | Blood pressure is usually low. |
HEENT | |
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 | Patients usually has no pertinent findings.
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)
|
Skin / Genitalia | |
Skin / Neurologic |