Doctor insights on:
Non Treated Gangrene Patient Septic How Long Can He Survive
There is no set time: ...& can vary from hours to never. Gangrenous tissue should be surgically removed as soon as it is medically safe to do so (i.e., when anesthesia, if needed, can be tolerated) and something can be done to protect the raw tissue that's left behind- unless infection has already started in which case it's even more urgent and no longer as important to worry about covering the raw tissue right away. ...Read more
Emergency: Its an emmergency.Get a more detailed answer ›
ERCP: If the patient has sepsis from biliary origin, ERCP should be performed asap, as well as prompt treatment with antibiotherapy. Please select your ERCP doctor carefully. You need someone with skills. ...Read more
Can someone explain to me how come patients with septic shock be treated with insulin and corticosteroids?
To improve survival: Steroids may be used in septic shock that persists despite max support. The adrenal may suffer during shock and glucose metabolism is off, necessitating Insulin especially when giving steroids. The steroids are in low to intermediate dose. High dose steroids in septic shock are associated with higer mortality. ...Read more
What is the mortality rate of fourniers gangrene? I have patient who has that disease and its sad to see him deproving each day.
Age, kidneys, blood, ..:
In the following study the primary factors effecting mortality are age, renal function and presence of a coagulopathy as the three most important factors influencing mortality. Read the link for more info:
http://www. Ncbi. Nlm. Nih. Gov/pubmed/19837424. ...Read more
If the patient who is suffering from septic shock gets worse after an attempt of dialysis, what are other options available to be considered?
Consult intensivist: This issue is too complicated to be addressed in this forum. You would do well to consult with a specialist in intensive care. ...Read more
Have you ever seen severe myelodysplastic changes in peripheral blood smears of septic cancer patients?
Nothing special: Sepsis can affect the blood temporarily. All you have to do is repeat the CBC and you should see those changes disappear in a matter of few days. If the changes persist, then you have to get suspicious for a possible diagnosis of MDS. But MDS will result in low blood counts. So send us your CBC results and we can interpret it for you and guide you further. ...Read more
How often do patients go into septic shock. From spinal surgery? And do you tell the patients family when this happens?
Unusual: It is unusual for a patient to have septic shock from spinal surgery, although it is one of the known complications. This is more likely to occur if there was concurrent multi-trauma or other metabolic issues such as diabetes mellitus. Family should be informed about problems and complications. ...Read more
What can I give my dad for the circulation problem and two toes that have gangrene. He's in a lot of pain. But he's a dialysis patient.
Mrs. Rose is a hospice patient in the nursing home. She has gangrene of her foot. What can she do to cure it?
It depends: Depending on her current health status, whether the gangrene is wet/dry, if there is neuropathy (which may spare the patient pain), and prognosis are to all be considered. Hospice care is palliative in nature, so if intervention for the gangrene is to be considered, a change in her hospice status is necessary. ...Read more
Diabetic, heart patient on dialysis with hypatitis c just had leg amputation because of gangrene, now really hard and swollen stomach, is because of HC?
My uncle had bad frostbite on his leg. Because it took so long to be treated, they say it might turn into gangrene. How long would it take to turn?
Fairly fast: Look for hard spots or dark areas. Usually at the very ends of the extremities like at the tip of the toes. ...Read more
Can't answer...: ...without seeing his operative or pathology report. There is no way to predict second-hand when his gallbladder turned gangrenous, or how close it was to perforating, based on the absence you've provided of any clinical information. Sorry, but this is a good question to re-direct to his surgeon (who was actually there). ...Read more
60%: It is very variable, with many factors playing a role. Concomitant conditions and age are also major factors, though most studies have around a 40 percent mortality on average. ...Read more
First of all, congratulations on surviving septic shock. That is great! In the short term, focus on your recovery, and if you need physical rehab, definitely go and get it.
But, septic shock can be very deadly. So, the fact that you are well enough to ask this question, is awesome! ...Read more
How much time can you live with gangrene and the doctors can't do anything because he wouldn't survive the surgery?
Depends on severity: Much depends on extent, location and severity. True gangrene is a progressive infection and if not treated properly is usually fatal. Also depends on how rapidly it is moving and whether there are signs of systemic illness, such as fever, low blood pressure, delirium. ...Read more
Gangrene...: Implies death and infection. If the stomach is truly gangrenous, survival is not likely. ...Read more
Multiple factors: Gangrene is a rather generic description of a necrotizing infection. This mesns the bacteria are invading and killing normal tissue. The speed with wich this sets in depends on many factors including what organisms are causing the infection as well as many host factors such as diabetes, smoker status, vascular or herat disease etc... All of which may make the infection spread faster. ...Read more
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