|a.||Describe and interpret the photograph of this man||(30%)|
|b.||Outline your immediate management.||(70%)|
FACEM VAQ Exam 2006.1 – Question 6
- Overall pass rate for this question was 34/40 (85%).
- The clinical photograph provided shows marked scrotal inflammation and necrosis
- Examiners expected that candidates would recognise that the diagnosis was one of a life threatening, synergistic necrotizing cellulitis/fasciitis infection evidenced not just by the appearance of the picture but also by the presence of delirium.
- Management had to include early surgical involvement as well as broad spectrum antibiotics and aggressive resuscitation. It was expected that disposition would at least include consideration of ICU admission.
- Failing answers did not recognise how ill the patient was, resuscitated inadequately or did not involve surgeons for debridement
ACEM Fellowship Visual Aid Questions