Flashcards in Incision and Drainage Deck (5)
-what is this?
-MC cause of hot tub folliculitis?
What: superficial infection of hair follicles in the epidermis
Tx: resolve spontaneously, warm compress may help
MC cause hot tub = pseudomonas aeruginosa
What is the difference between:
Skin abscess: collection of pus within the dermis and deeper skin tissues
Furuncle: infection of hair follicle, pus extends through dermis into sub Q tissue.
Carbuncle: multiple furuncles
Indications for I&D
CI/Concerns for I&D
Most skin abscesses should undergo I&D.
--if draining spontaneoulsy may elect to follow.
--anterior and lateral neck
--breast near areola
--near vital nerves or blood vessels
--hand abscess (excluding paronchyia)
--central triangle of face
--recurrent or interconnected abscesses
--larger than 5cm
--bleeding disorder or anticoagulation
**in these circumstances you may need to refer to someone above your pay grade.
Risk factors for Abscess
What are some preprocedure medical issues you should address?
DM, immunological abnormalities, breaches of skin barrier.
- lidocaine allergy (may use injectable benadryl)
- heart valve or total joint, need abx prophylaxis