Common Office Procedures Lecture Powerpoint

Question 1

Skin abscess treatment options (3)

Answer 1

• needle aspiration if small but not often used, can be diagnostic
• I&D
• antibiotic if immunostatus concerns or secondary cellulitis only

Question 2

I&D drainage procedure (8)

Answer 2

• cleanse skin and prep area with betadine
• apply sterile drapes
• anesthetize with local anesthetic
• use #11 blade to open sufficiently to drain either linear or cruciate (cross) incision
• use hemostats to break up debris and pus
• obtain culture
• irrigate
• pack with iodoform or plain

Question 3

Does every foreign body need to be removed?

Answer 3

No, goal is to avoid infection so must consider pros and cons and can consider leaving certain metal or glass objects, have to be cautious for development of foreign body reaction (granuloma, abscess) later in life as pushed out to skin

Question 4

Sebaceous cyst treatment options (2)

Answer 4

• I&D if active infection

- if not infected than elective removal then close up with suture

Question 5

Treatment for the 3 stages of severity of an infected ingrown nail

Answer 5

• antibiotics and warm soaks (stage 1)
• partial nail avulsion (stage 2)
• lateral nail avulsion and matricectomy (stage 3)

Question 6

Internal hemorrhoid office procedure treatment (1), external treatment (1)

Answer 6

• Rubber band ligation

- excision of thrombosed hemorrhoids