What is the role of a chemistry panel and blood gases in the workup of Fournier gangrene?

Updated: Jun 03, 2021
  • Author: Vernon M Pais, Jr, MD; Chief Editor: Bradley Fields Schwartz, DO, FACS  more...
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Answer

Perform a chemistry panel to evaluate for possible electrolyte disturbances; to look for laboratory evidence of dehydration (elevated blood urea nitrogen [BUN]/creatinine ratio), which tends to occur as the disease progresses; and to evaluate for glucose intolerance, which may be due to preexisting diabetes or sepsis-induced metabolic disturbance.

Arterial blood gas (ABG) sampling provides a more accurate assessment of acid/base disturbance. Acidosis with hyperglycemia or hypoglycemia may be present.


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