Gangrene physical examination: Difference between revisions
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|align="center" style="padding: 2px 2px; background: #E6E6FA; font-weight: bold" |[[General Appearance]] | |align="center" 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 | | style="padding: 2px 2px; background: #F5F5F5;" |[[Patient]] with [[gangrene]] usually appears [[conscious]], [[coherent]], and in [[cardiorespiratory distress]]. | ||
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|align="center" style="padding: 2px 2px; background: #E6E6FA; font-weight: bold" |[[Vital Signs]] | |align="center" style="padding: 2px 2px; background: #E6E6FA; font-weight: bold" |[[Vital Signs]] | ||
| style="padding: 2px 2px; background: #F5F5F5;" |[[ | | style="padding: 2px 2px; background: #F5F5F5;" |[[Patient]] is usually [[hypotensive]], and [[febrile]]. <ref name="pmid7934492">{{cite journal| author=Chelsom J, Halstensen A, Haga T, Høiby EA| title=Necrotising fasciitis due to group A streptococci in western Norway: incidence and clinical features. | journal=Lancet | year= 1994 | volume= 344 | issue= 8930 | pages= 1111-5 | pmid=7934492 | doi=10.1016/s0140-6736(94)90629-7 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=7934492 }} </ref> <ref name="pmid2659990">{{cite journal| author=Stevens DL, Tanner MH, Winship J, Swarts R, Ries KM, Schlievert PM | display-authors=etal| title=Severe group A streptococcal infections associated with a toxic shock-like syndrome and scarlet fever toxin A. | journal=N Engl J Med | year= 1989 | volume= 321 | issue= 1 | pages= 1-7 | pmid=2659990 | doi=10.1056/NEJM198907063210101 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=2659990 }} </ref> | ||
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| rowspan="5" align="center" style="background: #E6E6FA;" ; |[[HEENT]] | | rowspan="5" align="center" style="background: #E6E6FA;" ; |[[HEENT]] | ||
Revision as of 23:36, 9 April 2022
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Gangrene Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Gangrene physical examination On the Web |
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American Roentgen Ray Society Images of Gangrene physical examination |
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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. Table 1 provides a summary of typical physical examination of a patient with gangrene.
| System | Findings | |
|---|---|---|
| General Appearance | Patient with gangrene usually appears conscious, coherent, and in cardiorespiratory distress. | |
| Vital Signs | Patient is usually hypotensive, and febrile. [1] [2] | |
| HEENT | Head can be normocephalic. | |
| Eyes can be normal. | ||
| Ears can be normal. | ||
| Nose can be normal. | ||
| Throat can be normal. | ||
| 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 heart rhythm, and heart murmurs. | |
| Abdomen | Patients usually has no pertinent findings. | |
| Skin / Extremities | Patients usually has no pertinent findings. | |
| Dry Gangrene - The affected part is dry, shrunken, and dark black, resembling mummified flesh. | ||
| Wet Gangrene - The affected part is edematous, soft, putrid, rotten and dark. | ||
| Gas Gangrene- Gas gangrene can cause necrosis and gas production. | ||
| Skin / Genitalia | The genitals can be hyperemic, necrotic and edematous with purulent suppuration.[3] | |
| Neurologic | Patients can be somnolent, confused, and not coherent due to sepsis. |
References
- ↑ Chelsom J, Halstensen A, Haga T, Høiby EA (1994). "Necrotising fasciitis due to group A streptococci in western Norway: incidence and clinical features". Lancet. 344 (8930): 1111–5. doi:10.1016/s0140-6736(94)90629-7. PMID 7934492.
- ↑ Stevens DL, Tanner MH, Winship J, Swarts R, Ries KM, Schlievert PM; et al. (1989). "Severe group A streptococcal infections associated with a toxic shock-like syndrome and scarlet fever toxin A." N Engl J Med. 321 (1): 1–7. doi:10.1056/NEJM198907063210101. PMID 2659990.
- ↑ Chernyadyev SA, Ufimtseva MA, Vishnevskaya IF, Bochkarev YM, Ushakov AA, Beresneva TA; et al. (2018). "Fournier's Gangrene: Literature Review and Clinical Cases". Urol Int. 101 (1): 91–97. doi:10.1159/000490108. PMC 6106138. PMID 29949811.