MS II week 6

Question 1

Where does an abscess often come from?

Answer 1

Traumatic inoculation into skin

• friction
• minor trauma

Question 2

Furuncles from what

Answer 2

infected hair folicles

Question 3

common areas for an abscess

Answer 3

belt, theigs, buttock groin, axillae,

Question 4

how long for a abscess or furuncles to become ripe

Answer 4

4-6 days to become ready to drain.

Question 5

what is the most common skin pathogen and where does it come from

Answer 5

Staph aureus,

anterior nares, axillae, perineum, navel

Question 6

furunculosis

Answer 6

self-limited infection or chronic in which one or selveral lesions are presence: hair folicle infection

Question 7

hyperimmunoglobinulinemia E: s

Answer 7

staph abscess syndrom: immune defect that predisposes to furunculosis:

Question 8

where do the large cold abscesses appear

Answer 8

young girls with atopic Derm, and elevated igE and chemotaxix deftect

Question 9

immunodeficiency diseases with abscesses

Answer 9

Transient hypogammaglobinemia of infantcy
wiskott aldrich
C3 issue

Question 10

are abscesses or furuncles more common?

Answer 10

furuncles

Question 11

Predisposing factors of furuncles

Answer 11

• traumatic inoculation
• exposure to irritants
• poor hygine
• local puritis
• excessive sweating
• hot humid climate
• follicular abnormalities
• immunodeficiency
• atopic derm, eczema, scabes

Question 12

describe and abscess

Answer 12

deep tender, firm red papule that enlarges rapidly into a tender deep seated nodule

Question 13

what happens to abscesses

Answer 13

They either remain deep and reabsorb or ruptures through surface and heals without scarring

Question 14

Describe carbuncles

Answer 14

patch of infected follicles with broad, red, swollen slowly evolving deep painful mass with multiple openings to drain.

Question 15

where do carbuncles originate

Answer 15

deep dermis

back of neck, and trunk and lateral teigs

Question 16

do abscess or carbuncles have systemic symptoms?

Answer 16

carbuncles have fever, chills malaise during active phase.

Question 17

What is mostcommonly mistaken for a furuncle?

Answer 17

Epidermal inclusion or pilar cyst

Question 18

what may the intense foreign body inflammatory reaction lead to?

Answer 18

a sterile abscess formation

Question 19

Hidradenitis suppurativa

Answer 19

draining nodules present in the axillary inguinal and perineal areas, folds with open comedones and scars

Question 20

why culture and gram stain an abscess?

Answer 20

recurrent, immunocompromised

almost never biopsy

Question 21

Treat furuncles

Answer 21

compresses

- incision and draining

Question 22

how to treat local staph infection

Answer 22

rest
elevation
heat
drainage

Question 23

what scaple to open abscess?

Answer 23

11 scalpel, wear eye protection

Question 24

two incicsion choices for I and D technque 1

Answer 24

cruciate to prevent premature closure

linear : to reduce scarring

Question 25

why use more lidocane than ususaly for I and D?

Answer 25

becaue if its red the increased circulation can carry the drugs away

Question 26

how do you break up inside abscess

Answer 26

blunt dissection and hemostat.

Question 27

when should drain be changed?

Answer 27

three days

Question 28

when to use antibiotics with abscess

Answer 28

- systematic symptoms

Question 29

antibiotic of choice for abscess

Answer 29

erythromycin, penicillinase penicillin for s. aurus.

Question 30

what should be don with recurrent furunculosis?

Answer 30

culture incubator sites like nose, arm pit navel andpeineum

Question 31

pilonidal cyst

Answer 31

abnormal pockent in skin that contains hair and skin debris often near tailbone at top of buttock

Question 32

where are most pilonidal cysts primary openings

Answer 32

midline, most often with secondary opening superior

Question 33

prefered treatment for pilonidal cyst

Answer 33

I and D. then pack with iodoform gause. | may take 3 weeks to heal