I&D Flashcards
what is the most common causative agent with abscesses
staphylococcus
streptococcus
enteric bacteria (perianal)
what are common locations for abscesses
can be anywhere
extremities, buttocks, breast, perianal area or hair follicle
when are cultures needed for abscesses
immunosuppressed patients
what is the definitive treatment of abscess
incision and drainage
what are indications for I&D
palpable abscess on skin
what are contraindications for I&D?
extremely large abscess (best treated in OR)
Deep abscesses
Palmar/plantar abscess
abscess in nasolabial fold
what is the I&D set ups
Universal precautions (eyewear and gloves)
anesthetic: 1 or 2% lido
10cc syringe
25 gauge needle
skin prep
scalpel
hemostat
scissors
draping
packing materia
dry gauze and tape
What areas do not get epinepherine
fingers, nose, toes, ears and penis
what are the options for holding the scalpel
pencil hold or 3 point hold
what is the 10 blade
most commonly used
linear incisions in skin or CT
what is the 11 blade
sharpley pointed
used for stab incisions and delicate procedures
what is the 12 blade
concave (sickel shaped)
used m/c for declaw procedures
what is a 15 blade
used for fine precision work
when are superficial shave biopsies used
raised lesions
when are punch biopsies used
full-thickness samples and can be used for lesions that require dermal of subcutaneous tissue for dx
