FELON Flashcards
1
Q
Definition
A
Subcutaneous pyogenic infection of pulp space
2
Q
Clinical Features
A
Red, tense, markedly painful distal pulp space
3
Q
Mechanism
A
Typically minor trauma to dermis
Followed by:
contiguous spread between septae -> multiple compartmentalized abscesses
4
Q
Etiology
A
S. Aureus (MRSA)
S. Pyogenes
Anaerobes
Polymicrobial
5
Q
Complications
A
Flexor Tenosynovitis
Osteomyelitis
6
Q
Management
A
Unilateral longitudinal Incision and Drainage + irrigation + small wick
Swab for gram stain and culture
Dry, sterile dressing with extremity elevation
TMP-SMX DS
1 tab PO bid
7-10 days
+/-
Cephalexin 500 mg
1 tab PO qid
7-10 days
Follow up in 48 hrs
7
Q
Antibiotics if anaerobes are suspected
A
Clindamycin OR Clavulin
