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treatment of an abscess should always include...
incision and drainage
CONTRAINDICATIONS for I&D
pulsatile masses
breat in the puerperium
cavities
face
neck
palms
soles
perirectal area
NEVER use lidocaine + epinephrine in...
fingers
nose
earlobes
toes
penis
What is the role of epinephrine with lidocaine?
prolong anesthetic effect of lidocaine + vasoconstrict distal vessels
What blade sizes are used for I&D?
11 and 15
Start the I&D by making a stab incision ______ to the skin tension lines
parallel
What tool is used to break up loculations within the abscess cavity?
hemostat
When should you pack the wound with sterile plain packing?
If the wound is >5cm
When do you follow up after an I&D?
2-3 days
Complications of I&D
-cellulitis or recurrence of pus
-bacteremia or septicemia
-bleeding
-injury to surrounding tissues
What are the DIAGNOSTIC indications for LP?