Fournier's Gangrene Flashcards
1
Q
what is it?
A
urological emergency - nec fasc of perineum & external genitalia
2
Q
Risk factors?
A
- Immunocompromised
- T2DM
- IVDU
- malnourished (alcohol excess, obesity)
3
Q
Ix?
A
- as per sepsis 6
- O/E: erythema, oedema, necrotic skin, crepitus on palpation
- must do DRE!
4
Q
Mx?
A
- ABCDE + Sepsis 6
- NBM, fluid resus, broad spectrum Abx
- Prep for theatre - surgical debridement