What is gangrene?
Gangrene is the necrosis of tissue with superadded putrifaction.
Classify or types of gangrene
- Dry gangrene
- Moist gangrene.
- Gas gangrene.
What is the Common sites of gangrene??
- Diatal parts of limbs
- Appendix
- Small intestine.
- Gallbladder
- Pancreas.
- Lungs.
- Cervix of uterus.
- Testis.
- Due to arterial obateuction:
- Thrombosis.
- Embolus.
- Arteritis
2. Infective causes:
- Abscess
- Boil
- Carbuncle.
- Gas gangrene.
- Gangrene of scrotum.
3. Traumatic causes:
- Crushes.
- Presaure sores.
4. Physical causes :
- Burn
- Scald.
- Frostbite.
- Chemicals.
- Irradiation.
- Electricity.
5. Venous obstruction : may lead to venous gangrene.
- Changes of colour from purple to black.
- Lack of arterial pulse.
- Lack of temperature.
- Loss of sensation.
- Loss of function.
What are the causes of black colouration of gangrenous part??
- Breakdown of tissue protein by bacteria liberates, such as H2S ( Hydrogen Sulphaid gass).
- Breakdown of haemoglobin liberates, auch as Fe ( iron).
- Fe + H2S —> FeS which is reaponaible for black colouration of gangrenous part.
What are the characteristics of dry gangrene
- The gangrenous part becomes black, cold,dry & shriveled.
- It occurs due to occlusion of arterial supply.
- Smell ( odour) usually not present.
- Spread of gangrene is slow.
- Putefaction is slow.
- Line of demarcation is present.
- Secondary bacterial infections is absent.
- Blebs or crepitation is absent.
- It usually occur in the distal part of extrimity.
- Prognoais usually not fatal.
What are the characteristics of moist gangrene??
- The gangrenous part becomes moist,swollen & reddiah black.
- It occurs sue to occlusion of both artwrial supply & venous drainages.
- Smell always present.
- Spread of gangrene is very rapid.
- Petrifaction is very rapid.
- Line of demarcation is absent.
- Secondary bacterial infection is present.
- Blebs or crepitation is present.
- It uaually occurs in the internal organ.
- Progonosis usually fatal.
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