Pilonidal Disease

Question 1

What is pilonidal disease?

Answer 1

Asymptomatic hair-containing cysts and sinuses to large symptomatic abscesses of the sacrococcygeal region

Question 2

Where do pilonidal sinuses or cysts occur?

Answer 2

Midline in the upper part of the natal cleft

Question 3

Which decade of life does pilonidal disease occur?

Answer 3

Before the 4th decade of life

Question 4

Where is an abscessed pilonidal cyst located?

Answer 4

Midline and does not communicate with the anorectum

Question 5

What lab should you consider for pilonidal disease?

Answer 5

CBC if pt has systemic sx

Question 6

Initial treatment for pilonidal disease?

Answer 6

I&D however recurrences is common

Question 7

Definitive treatment for pilonidal disease?

Answer 7

Surgical excision performed in the operating room

Question 8

What kind of dressing should be packed into a drained pilonidal abscess?

Answer 8

Wet to dry dressing

Question 9

What antibiotics should be given for pilonidal disease as temporizing and palliative care?

Answer 9

Cephalexin
Doxycycline

Question 10

Disposition of patients with pilonidal disease?

Answer 10

MEDADVICE pending physician supervisor preference
MEDEVAC for complicated cases