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Related Concept Videos

Necrosis01:16

Necrosis

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Necrosis is considered as an “accidental” or unexpected form of cell death that ends in cell lysis. The first noticeable mention of “necrosis” was in 1859 when Rudolf Virchow used this term to describe advanced tissue breakdown in his compilation titled “Cell Pathology”.
Morphological Manifestations of Necrosis
Necrotic cells show different types of morphological appearance depending on the type of tissue and infection. In coagulative necrosis, cells become...
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Endocarditis can present various clinical features depending on the causative organism and the patient's underlying health conditions. Initially, the clinical features of infective endocarditis develop gradually, presenting with nonspecific symptoms that can be easily mistaken for other illnesses.General SymptomsEarly symptoms of infective endocarditis are fever, chills, weakness, malaise, fatigue, and weight loss. These symptoms reflect the systemic nature of the infection and the body's...
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Endocarditis IV: Nursing Management

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Infective endocarditis (IE) is a chronic infection of the heart's endocardium, primarily affecting the heart valves. A detailed nursing assessment for a patient with IE involves collecting subjective and objective data to ensure an accurate diagnosis and timely intervention.Subjective DataThe nurse gathers information about the patient's symptoms and complaints during the subjective assessment. Patients with infective endocarditis often report non-specific symptoms that can mimic other...
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A necrotising fasciitis: case report.

S Cantarella1, A Casamassima2, Dott M Bussone2

  • 1Chirurgia Generale, Ospedale di Melzo - ASST Melegnano e Martesana, Milan, Italy. salvatore.cantarella@gmail.com.

Journal of Ultrasound
|January 7, 2023
PubMed
Summary
This summary is machine-generated.

Necrotizing fasciitis, a severe soft tissue infection, requires prompt surgical intervention. Point-of-care ultrasound aids early diagnosis, improving patient outcomes for this critical condition.

Keywords:
Early diagnosisFasciitisInfectionUltrasoundUrgency

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Area of Science:

  • Infectious Diseases
  • Radiology
  • Surgical Pathology

Background:

  • Necrotizing fasciitis presents a high mortality rate (6-33%) and risk of amputation, with prognosis heavily dependent on timely surgical debridement.
  • The critical 6-hour window from presentation to surgery is often missed due to symptom mimicry with common skin infections like erysipelas and cellulitis.

Observation:

  • Point-of-care ultrasound (POCUS) offers valuable diagnostic support in suspected necrotizing fasciitis.
  • Characteristic POCUS findings include subcutaneous thickening, perifascial fluid, and gas within soft tissues.

Findings:

  • Ultrasound reveals specific signs such as the 'cobblestone' appearance, 'snow globes' (reverberation artifacts), and 'dirty shadowing' (gas-related artifacts).
  • These findings facilitate the early identification of necrotizing fasciitis, differentiating it from less severe infections.

Implications:

  • Early POCUS diagnosis can expedite surgical management, potentially improving patient prognosis and reducing amputation rates.
  • Integrating POCUS into clinical practice can enhance the diagnostic accuracy and speed for necrotizing fasciitis.