Ischaemic muscle necrosis but no obvious infection. The tissue involved often toes is well-defined and demarcated. Usually mild pain or painless, shrivelled brown/black area. The usual plan is for debridement or amputation. Often conservative management which allows autoamputation. Wet Gangrene
This is regarded as an emergency. This is the classical acutely ischaemic limb that is infected with Clostridium infection-causing necrosis and sepsis. There is pyrexia, pain and pus. Often the patient is diabetic and has comorbidities. Involve the surgeons. They may consider debridement. In meantime give high flow O2, fluids and broad-spectrum antibiotics such as BenzylPenicillin or Clindamycin and Metronidazole. Palliation may be suitable for some.
|MEDICAL DISCLAIMER:The contents are under continuing development and improvements and despite all efforts may contain errors of omission or fact. This is not to be used for the assessment, diagnosis or management of patients. It should not be regarded as medical advice by healthcare workers or laypeople. It is for educational purposes only. Please adhere to your local protocols. Use the BNF for drug information. If you are unwell please seek urgent healthcare advice. If you do not accept this then please do not use the website. Makindo Ltd|
Dry and Wet Gangrene
| About | Anaesthetics and Critical Care | Anatomy | Basic Science | Biochemistry | Cardiology | Cases | Clinical Cases | Crib | Dentistry | Dermatology | Differentials | Drugs | ENT | Electrocardiogram | Embryology | Emergency Medicine | Endocrinology | Ethics | Foundation Doctors | Gastroenterology | General Information | General Practice | Genetics | Geriatric Medicine | Guidelines | Haematology | Hepatology | Immunology | Infectious Disease | Infectious Diseases | Infographic | Investigations | Lists | Microbiology | Miscellaneous | Nephrology | Neuroanatomy | Neurology | Nutrition | OSCE | Obstetrics Gynaecology | Oncology | Ophthalmology | Oral Medicine | Paediatrics | Palliative | Pathology | Pharmacology | Physiology | Procedures | Psychiatry | Radiology | Research | Respiratory | Resuscitation | Rheumatology | Statistics | Stroke | Surgery | Surgical | Toxicology | Trauma and Orthopaedics | Twitter | Urology | Version Jan 2023