Necrotizing fasciitis physical examination
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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
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 1 (Early) |
Stage 2 (Intermediate) |
Stage 3
(Late) |
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