Gangrene

Question 1

Anaerobic gangrene;

Caused by ? ? found in soil / ?.
Can arise from a trivial injury, often in ? patients.
There is initially ? in the tissues and skeletal muscle (giving ?), with
? and spreading gangrene plus ? upset.

Answer 1

clostridium perfringens
faeces
immssupp
gas
crepitus
oedema
systemic

Question 2

Anaerobic gangrene

These patients may need ?.
Treatment is aggressive ? and IV ? + ?

Answer 2

resus
debridement
met, pen

Question 3

Synergistic gangrene (necrotising fasciitis);

Aerobes and synergistic ? infect an initial ? / surgical site, leading to severe wound ? and ? in the tissues.

Answer 3

anaerobes
wound
pain
gas

Question 4

Synergistic gangrene (nec fasc)

There may be extensive ? gangrene.
Treatment is ?, ? and ? support.

Answer 4

subdermal
debridement
ABx
systemic