Necrotising fascitis

Question 1

What is necrotising fascitis

Answer 1

Rapidly spreading infection of the deep fascia

Question 2

What are the 2 types of necrotising fascitis and what are the differences in what causes them

Answer 2

Type 1 -> mixed aerobic and anaerobic bacteria

Type 2 -> group A haemolytic sterp.

Question 3

What are some of the causes of necrotising fascitis

Answer 3

Trauma

Surgery

Co-morbidities (e.g. diabetes)

Question 4

How does necrotising fascitis present

Answer 4

Severe pain

Necrotic & blistering skin

Systemic features (fever and tachycardia)

Creptius (due to subcutaneous emphysema)

Question 5

Necortising fasciitis can often cause cracking soudns when you touch the skin

What is this cause and what causes it

Answer 5

Crepitus

Caused by s/c emphysema

Question 6

What does necrotising fascitis have a mortality

Answer 6

As patient’s who have are already ill

Question 7

How is necrotising fascitis managed

Answer 7

Urgent surgical debridment

IV antibiotics

Referral to plastics

Treat underlying cause

Question 8

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Answer 8

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