Chapter 7

Question 1

Know various steps to preforming and Incision and Draining of an abscess

Answer 1

Use a # 11 scalpel

• open (cruciate or linear)
• let contents drain then gently express
• break up inside with hemostat or blunt object
• pack cavity with iodine impregnated guause or put a drain in
• dress wound
• change dressing daily
• 3 days chaning drain remove puss

Question 2

pitfalls of attempting to dran abscess before it has formed

Answer 2

• increased bleeding without drainage

- increased potential for infection

Question 3

why use cruciate incision

Answer 3

• helps prevent premature wound closure during drainage and healing
• the linear incision has less scarring

Question 4

what does it mean to advance the drain

Answer 4

patient can pull out an inch of drain each day trim off excess and rebandage eacj dau/

Question 5

configuration of elipse

Answer 5

3 long; 1 wide with 30degree angles at ends

Question 6

why cut skin perpendicular for ellipse

Answer 6

allows for better eversion on closure

Question 7

options for wound dehisces

Answer 7

Partial: one or more sutures open
- watch for infection, debride, clean, bandage, let heal by secondary intention
Complete : open wound
- debride clean, resuture if no suture and less than 24 hours passed.

Question 8

two option of anesthesia for nail removal

Answer 8

• Digital block - No epi
  - 27 gague needle ,
  - 1% lidocanes
  Crush injuries: used .25%bupivacaine for lidocaner or mix 50:50

Question 9

two resions for three point corner stitch

Answer 9

for lacerations and more advancedspediality and plastic surgery

Question 10

scalpel for shave biopsy

Answer 10

15 blade