Monday, July 28, 2014

Gangrene of the lower extremity

Gangrene of the Lower extremity

Gangrene has both a Latin and Greek  origin which means "putrefaction" of tissues" and has no connection to the color green which is commonly thought.

Gangrene is a very serious condition that can be potentially life threatening. Gangrene usually arises from chronic conditions such as Diabetes and poor circulation or many years of smoking.

Types:
Wet: Occurs in moist areas such as the mouth, bowel, lungs, cervix, and vulva.
Dry: Usually arises due to a blockage of the arteries of the lower extremity. The appearance is purple or black with a sunken/ dried look
Gas: Caused by a bacteria called Clostridium Perfringens and it is a medical emergency because it can spread very quickly through the tissues of the body leading to Septecemia and toxemia.
Necrotizing Fascitiis: Gangrene of the deep layers of the tissue

Treatment options vary but usually entail surgical cleaning of the wound (debridement) , wound care, hyperbaric therapy, maggot therapy and antibiotic therapy, although amputation is necessary in most cases.





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