CBC - very elevated leukocytosis
CMP - hyponatremia
ESR
CRP
Lactate
Type and Screen
Wound Culture
Blood Cultures
CT Abdomen/pelvis (only if diagnosis unclear or if requested by surgery/urology)
Clinical diagnosis, based on history and physical exam
LRINEC score here: Necrotizing fasciitis
Fournier gangrene
Scrotal cellulitis
Wet gangrene
Epididymitis
Dry gangrene
Venous gangrene
Hematocele
Necrotizing cellulitis