Interesting case for multiple differential diagnosis
Mostly drug extravastion like calcium،dopamine
May be other diseases like epidermolysis bullosa
Toxic epidermal necrosis ,vascular disorder,protein c and s deficiency.
This is a form of technical error that may occur in NICU,and can be result from extra vasation of drugs as calcium and leads to necrosis of tissues and occlusion of blood supply and manifested by gangrene of the limbs.
19 Comments
monmon
Erythema edema and scaling due to Rapid calcium injection
monmon
Technichal error
Monmon
DD, include medication eg. Dopamine, calcium, mannitol. Kawasaki disease, epidermolysis bellusa
mariem abd el samee
drug extra vasation
mariem abd el samee
sever form of fungal infection improperly diagnosed
mariem abd el samee
arterial occlusion leading to gangreen
د اميره
Technical error due to drug extrvasation
Haidy Nasr
This may be a technical error leads to chemical burn by extravasation of a drug like dopamine or calcium injection
Haiat kishk
Interesting case for multiple differential diagnosis
Mostly drug extravastion like calcium،dopamine
May be other diseases like epidermolysis bullosa
Toxic epidermal necrosis ,vascular disorder,protein c and s deficiency.
Amani
may due to rapid medication injection as calcium injection or bicarb
Amani
may be gangrene due to vasculitis or vascular occlusion
Amani
Scalded skin due to burn
Lamiaa rehan
Scaild skine due to drug intake out side vein mostly, ca infection or dobamin.
Karima Abdelfattah Bahgat
This is a form of technical error that may occur in NICU,and can be result from extra vasation of drugs as calcium and leads to necrosis of tissues and occlusion of blood supply and manifested by gangrene of the limbs.
Amal Gaber
Drugs extra vasation e. g dopamine or calcium causes this chemical burn
Amal Gaber
We have to avoid use of certain drugs in peripheral line e. g dopamine such drug should be infused in Central line
Amal Gaber
Use of central line is mandatory especially in extremely premature who need vasopresor agents for long periods
Amal Gaber
Also septic neonates suffer from vasculitis which causes extravasation easily
Amal Gaber
This medical error can be avoided by close supervision, exposure of IV line using especial type of adhesive tape