Gangrene - Revision history

Danbot: Add References

2026-03-22T09:36:13Z

Add References

← Older revision		Revision as of 09:36, 22 March 2026
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	*[[Dry gangrene]]		*[[Dry gangrene]]
	*[[Wet gangrene]]		*[[Wet gangrene]]

			==References==
			<references/>

	[[Category:Surgery]]		[[Category:Surgery]]

Mholtz at 23:46, 30 October 2017

2017-10-30T23:46:32Z

← Older revision		Revision as of 23:46, 30 October 2017
Line 1:		Line 1:
	*[[Dry gangrene]]		*[[Dry gangrene]]
	*[[Wet gangrene]]		*[[Wet gangrene]]

			[[Category:Surgery]]

Rossdonaldson1: Replaced content with "Dry gangrene Wet gangrene"

2017-10-30T04:01:44Z

Replaced content with "*Dry gangrene *Wet gangrene"

← Older revision		Revision as of 04:01, 30 October 2017
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	~~==Background==~~		*[[Dry gangrene]]
	~~{{Gangrene background}}~~		*[[Wet gangrene]]

	~~==Clinical Features==~~


	~~==Differential Diagnosis==~~


	~~==Evaluation==~~


	~~==Management==~~


	~~==Disposition==~~


	~~==See Also==~~


	~~==External Links==~~


	~~==References==~~
	~~<references/>~~


	~~== Background ==~~


	~~== Dry Gangrene ==~~
	[[~~File:~~Dry ~~Gangrene.png~~]]
	~~=== Clinical Features ===~~
	* Usually due to peripheral arterial disease, but can also be caused by acute limb ischemia.
	* Presents with dry, shrunken tissue, usually ranging from dark red to completely black, often with a clear line of demarcation between healthy and necrotic tissue. Typically not painful.
	~~=== Evaluation ===~~
	* History and physical examination are usually sufficient to make the diagnosis. If acute limb ischemia is suspected, consider a CTA of the affected limb and a vascular surgery consultation.
	~~=== Management ===~~
	* Infection rarely present, so management involves keeping the area clean and dry to prevent infection. Will usually auto-amputate in <6 months. Should be referred to vascular surgery as auto-amputation may not occur, and they may benefit from revascularization therapies to prevent further tissue death.
	* If acute limb ischemia is present, embolectomy or surgical bypass may be required to restore flow.

	~~== Wet Gangrene ==~~
	~~=== Clinical Features ===~~
	* Usually due to peripheral arterial or venous disease, but can also be sequelae of trauma or burns causing vascular injuries.
	* Presents with swollen, pale, soft tissue, often with a putrid smell and purulent discharge.
	* As tissue is infected, wet gangrene presents a higher risk of systemic infection than dry gangrene.
	~~=== Evaluation ===~~
	* History and physical examination are usually sufficient to make the diagnosis.
	* Given higher risk for systemic infection, patients should be evaluated for signs/symptoms of SIRS/sepsis, including a CBC, and possibly blood cultures and lactate if systemic infection is suspected.
	~~=== Management ===~~
	* Wet gangrene ~~requires broad spectrum antibiotic coverage, as these are often polymycrobial infections.~~
	* Requires surgical consultation as rapid debridement or amputation of necrotic tissue is required to prevent further spread of infection.

Rossdonaldson1 at 03:59, 30 October 2017

2017-10-30T03:59:00Z

@@ Line 1: / Line 1: @@
 == Background ==
-* A form of tissue necrosis characterized by critically insufficient blood supply leading to tissue death.
 == Dry Gangrene ==

Rossdonaldson1: /* Dry Gangrene */

2017-10-30T03:54:10Z

Dry Gangrene

← Older revision		Revision as of 03:54, 30 October 2017
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	== Dry Gangrene ==		== Dry Gangrene ==
	[[File:~~Dry_gangrene~~.~~jpg~~]]		[[File:Dry Gangrene.png]]
	=== Clinical Features ===		=== Clinical Features ===
	* Usually due to peripheral arterial disease, but can also be caused by acute limb ischemia.		* Usually due to peripheral arterial disease, but can also be caused by acute limb ischemia.
Line 15:		Line 15:
	=== Management ===		=== Management ===
	* Infection rarely present, so management involves keeping the area clean and dry to prevent infection. Will usually auto-amputate in <6 months. Should be referred to vascular surgery as auto-amputation may not occur, and they may benefit from revascularization therapies to prevent further tissue death.		* Infection rarely present, so management involves keeping the area clean and dry to prevent infection. Will usually auto-amputate in <6 months. Should be referred to vascular surgery as auto-amputation may not occur, and they may benefit from revascularization therapies to prevent further tissue death.
	* If acute limb ischemia is present, embolectomy or surgical bypass may be required to restore flow.		* If acute limb ischemia is present, embolectomy or surgical bypass may be required to restore flow.

	== Wet Gangrene ==		== Wet Gangrene ==

Rossdonaldson1 at 03:46, 30 October 2017

2017-10-30T03:46:30Z

← Older revision		Revision as of 03:46, 30 October 2017
Line 1:		Line 1:
	== Background ==		== Background ==
	* A form of tissue necrosis characterized by critically insufficient blood supply leading to tissue death.		* A form of tissue necrosis characterized by critically insufficient blood supply leading to tissue death.
	* Primarily divided into wet gangrene vs dry gangrene. Other, specific forms of gangrene include [~~https://wikem.org/wiki/Fournier_gangrene~~ Fournier's gangrene], gas gangrene, and [~~https://wikem.org/wiki/Necrotizing_fasciitis~~ necrotizing fasciitis].		* Primarily divided into wet gangrene vs dry gangrene. Other, specific forms of gangrene include [[Fournier's gangrene]], gas gangrene, and [[necrotizing fasciitis]].
	* Most commonly occur in distal extremities, clasically the feet.		* Most commonly occur in distal extremities, clasically the feet.
	* Main risk factors are diabetes, smoking, and peripheral arterial disease.		* Main risk factors are diabetes, smoking, and peripheral arterial disease.

F.carlo08: /* Background */

2017-10-16T03:43:07Z

Background

← Older revision		Revision as of 03:43, 16 October 2017
Line 1:		Line 1:
	== Background ==		== Background ==
	* A form of tissue necrosis characterized by critically insufficient blood supply leading to tissue death.		* A form of tissue necrosis characterized by critically insufficient blood supply leading to tissue death.
	* Primarily divided into wet gangrene vs dry gangrene. Other, specific forms of gangrene include [https://wikem.org/wiki/Fournier_gangrene Fournier's gangrene], gas gangrene, and necrotizing fasciitis.		* Primarily divided into wet gangrene vs dry gangrene. Other, specific forms of gangrene include [https://wikem.org/wiki/Fournier_gangrene Fournier's gangrene], gas gangrene, and [https://wikem.org/wiki/Necrotizing_fasciitis necrotizing fasciitis].
	* Most commonly occur in distal extremities, clasically the feet.		* Most commonly occur in distal extremities, clasically the feet.
	* Main risk factors are diabetes, smoking, and peripheral arterial disease.		* Main risk factors are diabetes, smoking, and peripheral arterial disease.

F.carlo08: /* Background */

2017-10-16T03:42:25Z

Background

← Older revision		Revision as of 03:42, 16 October 2017
Line 1:		Line 1:
	== Background ==		== Background ==
	* A form of tissue necrosis characterized by critically insufficient blood supply leading to tissue death.		* A form of tissue necrosis characterized by critically insufficient blood supply leading to tissue death.
	* Primarily divided into wet gangrene vs dry gangrene. Other, specific forms of gangrene include Fournier's gangrene, gas gangrene, and necrotizing fasciitis.		* Primarily divided into wet gangrene vs dry gangrene. Other, specific forms of gangrene include [https://wikem.org/wiki/Fournier_gangrene Fournier's gangrene], gas gangrene, and necrotizing fasciitis.
	* Most commonly occur in distal extremities, clasically the feet.		* Most commonly occur in distal extremities, clasically the feet.
	* Main risk factors are diabetes, smoking, and peripheral arterial disease.		* Main risk factors are diabetes, smoking, and peripheral arterial disease.
	* Mainstays of treatment include surgical debridement and antibiotics.		* Mainstays of treatment include surgical debridement and antibiotics.

	== Dry Gangrene ==		== Dry Gangrene ==

F.carlo08: Created page with "== Background == * A form of tissue necrosis characterized by critically insufficient blood supply leading to tissue death. * Primarily divided into wet gangrene vs dry gangr..."

2017-10-10T23:54:09Z

Created page with "== Background == * A form of tissue necrosis characterized by critically insufficient blood supply leading to tissue death. * Primarily divided into wet gangrene vs dry gangr..."

New page

== Background ==
* A form of tissue necrosis characterized by critically insufficient blood supply leading to tissue death.
* Primarily divided into wet gangrene vs dry gangrene. Other, specific forms of gangrene include Fournier's gangrene, gas gangrene, and necrotizing fasciitis.
* Most commonly occur in distal extremities, clasically the feet.
* Main risk factors are diabetes, smoking, and peripheral arterial disease.
* Mainstays of treatment include surgical debridement and antibiotics.

== Dry Gangrene ==
[[File:Dry_gangrene.jpg]]
=== Clinical Features ===
* Usually due to peripheral arterial disease, but can also be caused by acute limb ischemia.
* Presents with dry, shrunken tissue, usually ranging from dark red to completely black, often with a clear line of demarcation between healthy and necrotic tissue. Typically not painful.
=== Evaluation ===
* History and physical examination are usually sufficient to make the diagnosis. If acute limb ischemia is suspected, consider a CTA of the affected limb and a vascular surgery consultation.
=== Management ===
* Infection rarely present, so management involves keeping the area clean and dry to prevent infection. Will usually auto-amputate in <6 months. Should be referred to vascular surgery as auto-amputation may not occur, and they may benefit from revascularization therapies to prevent further tissue death.
* If acute limb ischemia is present, embolectomy or surgical bypass may be required to restore flow.

== Wet Gangrene ==
=== Clinical Features ===
* Usually due to peripheral arterial or venous disease, but can also be sequelae of trauma or burns causing vascular injuries.
* Presents with swollen, pale, soft tissue, often with a putrid smell and purulent discharge.
* As tissue is infected, wet gangrene presents a higher risk of systemic infection than dry gangrene.
=== Evaluation ===
* History and physical examination are usually sufficient to make the diagnosis.
* Given higher risk for systemic infection, patients should be evaluated for signs/symptoms of SIRS/sepsis, including a CBC, and possibly blood cultures and lactate if systemic infection is suspected.
=== Management ===
* Wet gangrene requires broad spectrum antibiotic coverage, as these are often polymycrobial infections.
* Requires surgical consultation as rapid debridement or amputation of necrotic tissue is required to prevent further spread of infection.

Gangrene - Revision history

Danbot: Add References

Mholtz at 23:46, 30 October 2017

Rossdonaldson1: Replaced content with "*Dry gangrene *Wet gangrene"

Rossdonaldson1 at 03:59, 30 October 2017

Rossdonaldson1: /* Dry Gangrene */

Rossdonaldson1 at 03:46, 30 October 2017

F.carlo08: /* Background */

F.carlo08: /* Background */

F.carlo08: Created page with "== Background == * A form of tissue necrosis characterized by critically insufficient blood supply leading to tissue death. * Primarily divided into wet gangrene vs dry gangr..."

Rossdonaldson1: Replaced content with "Dry gangrene Wet gangrene"