INTRODUCTION REPORT GANGREN b.

Urine
Examination found the presence of
1. Definition glucose in the urine. The examination is done
Gangrene is tissue death, usually associated by Benedict (reduction). The results can be
with cessation of blood flow to the affected area. seen through the color changes in urine: green
(+), yellow (++), red (+++), and red brick
2. Etiology (++++).
Gas gangrene occurs due to infection by c. Puschult culture
clostridium bacteria, which is an aerobic bacteria Know the type of germs in the wound and
(grown when there is no oxygen). During its provide antibiotics that suit the type of germs.
growth, clostridium produces gas, so the
infection is called gangrene gas. 7. Complications
1. Dry gangrene
3. Classification 2. Wet gangrene
Gangrene is a result of cell death in large 3. Gang gangrene
quantities, gangrene can be classified as dry or 4. Gangren internal
wet. 5. Fournier's gangrene
1. Dry ganggren extends slowly with only a few
symptoms. 8. Medical Management
2. Wet gangrene is an area where dead tissue is 1. Improve the general state of the patient with
rapidly expanding. adequate nutrition
2. Provision of platelet anti aggregation if
5. Manifestasi Clinis necessary, hypolipidemic and anti-
1. Usually manifested with severe sudden pain hertensi
that occurs 1 to 4 days after injury, pain 3. If suspected of a gangrene, immediately
caused by gas and edema in injury tissue. given broad-spectrum antibiotics,
2. Around the normal looking wound is brightly although for destroying clostridia only
colored and taut but then becomes dark. needed penicillin.
3. The stench of the liquid comes out of the 4. Conducted removal of damaged tissue.
wound. Gases and fluids retained increased Sometimes if the circulation is very
local pressure and disrupted the blood supply bad, part or all of the limbs must be
and drainage of visible and necrotic muscle. amputated to prevent the spread of
infection.
6.Diagnostic Examination 5. High pressure oxygen therapy (hyperbaric
DIAGNOSIS oxygen) can also be used to treat
Diagnosis of diabetic gangrene is established by : gangrene skin wide. Patients are placed in a
1. Anamnesis / clinical symptoms room containing oxygen high
2. Physical examination of "Physis diagnostic" pressure, which will help kill clostridia.
3. Laboratory examination. 6. Clean the wound on the skin thoroughly.
7. Be alert to signs of infection (redness, pain,
Laboratory tests are : discharge, swelling).
a. Blood examination
Blood tests include: GDS> 200 mg / dl,
fasting blood sugar> 120 mg / dl and two
post-prandial hours> 200 mg / dl.