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Infection > Fournier's gangrene > Flashcards

Fournier's gangrene Flashcards

1
Q

definition of fourniers

A

necrotising fasciitis of external genitalia and perineum

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2
Q

organisms

A

aerobic
ecoli
enterococci
kleb

anaerobic
bacteriodes
clostridium

grow in synergistic fashion

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3
Q

risk factors for FG

A 
DM
chronic alcohol
local trauma
circumcision
paraphimosis
peri anal or perirectal infections
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4
Q

spread of infection

A

buck’s fasica of penis
dartos in scrotum
colles in perineum
scarps in anterior abdominal wall

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5
Q

management of fourniers 10

A 
resuscitate
IV abx
HDU/ITU
inform theatres
IV access
fluids
cultures
oxygen
optimise diabetic
NBM
catheter
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6
Q

consent for FG

A 
need repeat debridement
mortality 20-30%
need recon
ITU
need colostomy
inform and discuss family
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7
Q

FGSI index measures 6

A 
Mortality can be assessed via FGSI
Laor scoring system
Temperature
Heart rate
Resp rate
Serum sodium, potassium, creatinine, bicarb
Leucocyte count
haematocrit
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Infection (16 decks)

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