Fournier's Gangrene Flashcards
define
necrotising fasciitis around male genitalia
risk factors
diabetes
trauma
periurethral extravasation
perianal infection
development
starts as cellulitis, swelling and crepitus with dark purple areas
diagnosis
appearance
out of proportion with exam findings
XR
USS to confirm gas
management
antibiotics
surgical debridement
other infective emergencies
emphysematous pyelonephritis
perinephric abscess
define emphysematous pyelonephritis
acute necrotising parenchyma and perirenal infection
cause of emphysematous pyelonephritis
E. coli (usually)
risk factors for emphysematous pyelonephritis
ureteric obstruction
diabetes
presentation of emphysematous pyelonephritis
fever
vomiting
flank pain
diagnosis of emphysematous pyelonephritis
KUB shows gas
CT defines extent
management of emphysematous pyelonephritis
nephrectomy
cause of perinephric abscess
rupture of an acute cortical abscess into perinephric space or haematogenous seeding from sites of infection
presentation of perinephric abscess
insidious onset
pyrexia
flank mass
pyuria
diagnosis of perinephric abscess
high WCC
high serum creatinine
CT
