Fournier’s Gangrene

Question 1

What are risk factors of forneirs gangrene

Answer 1

• Diabetic with chronic catheter
• Urethral trauma
• Immunocompromised

Question 2

S/S of fourneirs gangrene

Answer 2

Severe pain
• Anterior abdominal wall
• Migrates to gluteal muscles, scrotum,
& penis
• Clinical Features
• Tense edema
• Blisters/bullae
• Crepitus
• Subcutaneous gas
• Sepsis picture
• Fever, tachycardia, and hypotension

Question 3

Diagnostics for fourneirs gangrene

Answer 3

CT or MRI for tissue involvement

Question 4

Treatment plan for fourniers gangrene

Answer 4

Debridement of necrotic tissue
Broad spectrum ABX
HD support
Cystostomy
Colostomy
Orchiectomy