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Subcutaneous Abscesses (other types (Pilonidal cyst (structure (in…
Subcutaneous Abscesses
Risk Factor Formation
summer months
IV drug use
immuno-compromise
minor trauma
poor hygine
other types
Sebaceous cyst
Structure
small
non tender
fluid-filled
treatment
remove capsule
Draining
Pilonidal cyst
structure
in sacrococcygeal above anus
treatment
surgical excition
Risk
85% recur
Paronychia
structure
lateral nail fold
Felon
structure
closed part of the volar fingertip
perirectal absecess
structure
perianal abscess
treatment
I&D
Hidradenitis suppurative
structure
chronic ìnlammatory
apocrine glands in anxilla
in inguinal area
treament
I&D / surgery
Bartolin's gland abscess
vestibule of the vaginal mucosa
Treatment
Contraindication
Pulsatile (suggests an aneurysm)
overlying large vesels
drainage in the OR
inadequate analgesia
proximity to important structures
Equipment
Povidone-iodine
lidocaine 1%
gauge needle & syringe
blade scalpel
curved hemostat
iodoform packing
Procedure
prepare area with povidone
anesthetize with 1% lido
aspiration of pus with syringe
incise 2/3 diameter of abscess cavity
break loculations & free pus with hemostat
pack & cover with iodoform
Complication
scarring
Bacerial Endocarditis