Fournier gangrene physical examination
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Steven C. Campbell, M.D., Ph.D.; Associate Editor(s)-in-Chief: Yamuna Kondapally, M.B.B.S[1]; Jesus Rosario Hernandez, M.D. [2]
Overview
Physical examination
The physical examination of Fournier gangrene include:
Appearance of the Patient
The patients with Fournier gangrene usually appear to be ill.
Vitals
- Fever (is often absent)
- Tachycardia
- Hypotension
- Tachypnea
Skin
- Jaundice
- Evidence of trauma, surgery, insect or human bites, or injection sites
Local examination
Local examination of patient under local anesthesia includes palpation of genitalia and perineum, and digital rectal examination.
- Induration
- Warmth
- Tenderness beyond margins of erythema
- Swelling
- Erythema with ill defined margins
- Blistering/bullae
- Skin discoloration
- Foul discharge (greyish or brown discharge)
- Fluctuance
- Crepitus
- Skin sloughing or necrosis
- Absence of lymphangitis or lymphadenopathy (lymphangitis is rarely seen in Fournier gangrene)
- Sensory and motor deficits (e.g. localized anesthesia)