Fournier Gangrene Flashcards
1
Q
definition
A
necrotizing fasciitis of the perineum and scrotum from a mixed aerobic/anaerobic infection.
2
Q
cxfx
A
typically present with severe pain that generally starts on the anterior abdominal wall and migrates into the gluteal
muscles, scrotum, and penis.
3
Q
Physical exam will show
A
blisters/bullae, crepitus, and subcutaneous gas, as well as systemic findings such as fever, tachycardia, and hypotension
4
Q
risk factors
A
male sex, >50y, DBT, EtOH
5
Q
most accurate test
A
CT) scan. will show air along the fascial planes or deeper tissue involvement.
6
Q
tx
A
like other necrotizing fasciitis, with surgical
exploration, debridement of necrotic tissue, and antibiotic therapy
