FOURNIER GANGRENE FOURNIER’S GANGRENE Also called as idiopathic gangrene of the scrotum. It is a vascular gangrene, a form of necrotizing fasciitis, with abrupt onset of a rapidly fulminating genital gangrene of idiopathic origin and gangrene upto deep fascia. Trauma, infection → microorganism → inflammation → obliterative arteritis → scrotal gangrene Common in diabetics (MC) […]
Fournier gangrene Q. 1 Following statements are true for Fournier’s gangrene except: A It is a vascular disaster of infective origin B Sudden appearance of scrotal inflammation C Rapid onset of gangrene D Testes are never exposed Q. 1 Following statements are true for Fournier’s gangrene except: A It is a vascular disaster of infective
BUERGER DISEASE BUERGER’S DISEASE (THROMBOANGITIS OBLITERANS) Buerger’s disease is a non- atherosclerotic, progressive, segmental, occlusive inflammatory disorder involving small and medium sized arteries with cell mediated sensitivity to Type I and Type II collage in upper and lower extremities. Inflammatory process does involve adjacent nerves and veins. Triad of thromboangitis obliterans- occlusion of small and
Buerger Disease Q. 1 All of the following are the clinical feature of thromboangitis obliterans except : A Raynaud’s phenomenon B Claudication of extremeties C Absence of popliteal pulse D Migratory superficial thrombophlabitis Q. 1 All of the following are the clinical feature of thromboangitis obliterans except : A Raynaud’s phenomenon B Claudication of extremeties
Venous ulcers Q. 1 Complications of obesity is/are: 1. Venous ulcer 2. Pulmonary embolism 3. Pickwickian syndrome 4. Hernias 5. Pulmonary hypertension A 1,2,3 & 4 B 2,3,4 & 5 C 1,2,3 & 5 D All are true Q. 1 Complications of obesity is/are: 1. Venous ulcer 2. Pulmonary embolism 3. Pickwickian syndrome 4. Hernias
VENOUS ULCERS VENOUS ULCERS Venous ulcers are situated on the medial side of lower half of the leg above medial malleolus (gaitre’s zone) It is a complication of varicose veins and DVT. ETIOLOGY- Fibrin cuff theory- High venous pressure –> pericapillary infiltrate –> fibrin –> fibrosis –> cuffs –> diffusion block –> tissue damage White
LYMPHANGIOSARCOMA ANGIOSARCOMA (LYMPHANGIOSARCOMA) Lymphangiosarcoma arises from lymph vessel endothelium. They are high grade and aggressive tumours. It usually occurs after radical lymph node dissection (Stewart – Treves syndrome) It may develop as a complication of a long standing lymphodema. CLINICAL FEATURES- Most of them occur in head and neck, breast, liver. Acute worsening of
Lymphangiosarcoma Q. 1 Lymphangiosarcoma occurs in? A Lymphangiomas B Lymphomas C Lymphedema D Serous cavity tumors Q. 1 Lymphangiosarcoma occurs in? A Lymphangiomas B Lymphomas C Lymphedema D Serous cavity tumors Ans. C Explanation: Lymphedema REF: Sabiston 18th ed chapter 69 “Lymphangiosarcoma is a rare tumor that develops as a complication of long-standing (usually more than
MALIGNANT MELANOMA MALIGNANT MELANOMA (MELANOCARCINOMA) Malignant melanoma is a malignant tumour arising from epidermal melanocyte derived from neural crest. Most aggressive cutaneous malignant tumour. DOPA REACTION- SITES FOR MALIGNANT MELANOMA- Head & neck Lower extremity Trunk Upper limb Choroid of the eye Genetalia MC site for men- front or back of the trunk MC site
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Malignant melanoma Q. 1 Skin biopsy of a patient shows evidence of malignant melanoma. Which is the common type of malignant melanoma? A Superficial spreading B Lentigo maligna melanoma C Nodular D Acral lentiginous Q. 1 Skin biopsy of a patient shows evidence of malignant melanoma. Which is the common type of malignant melanoma? A
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