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large massive abscess over back, incision and drainage, diabetic patient

large abscess, incision and drainage, diabetic patient, abscess over back#dr #youtube #doctor A skin abscess is a bump within or below the skin’s surface. It is usually full of pus, painful, and may feel thick and swollen. This is typically caused by a bacterial infection. Causes of a skin abscess A skin abscess is usually the result of a cut or nick in your skin that allows typical bacteria found on your skin, such as Staphylococcus aureus and Streptococcus pyogenes, to enter the wound and cause inflammation. You’re at an increased risk for this bacterial infection if you: have close contact with an individual who has a Staphylococcus (staph) infection, which is why these infections are more common in hospitals are living with a chronic skin disease, like acne or eczema are living with diabetes are living with metabolic syndrome smoke have a weakened immune system Other, less common causes of skin abscesses include: viruses fungus parasites tuberculosis Types The clinical term for a skin abscess is a cutaneous abscess. When it comes to skin abscesses, a few common types are: boils, which are painful bumps or nodules furuncles, which are usually due to an infected hair follicle, are filled with pus, and can spread to the surrounding tissue carbuncles, which are clusters of furuncles In rare cases, an abscess can also form internally. A few types of internal abscesses include: abdominal abscesses brain abscesses tooth abscesses spinal cord abscesses Identifying a skin abscess A skin abscess often appears as a bump on your skin, similar to a pimple. However, it can grow over time and become red and painful. The area on top of an abscess is usually inflamed, with the center of it feeling soft or “squishy.” The skin around the abscess may also be warm to the touch. Depending on the cause of the abscess, other symptoms may also be present. These symptoms may include: fever chills swelling fluid drainage from the abscess The clinical term for a skin abscess is a cutaneous abscess. When it comes to skin abscesses, a few common types are: boils, which are painful bumps or nodules furuncles, which are usually due to an infected hair follicle, are filled with pus, and can spread to the surrounding tissue carbuncles, which are clusters of furuncles When to contact a doctor A small, occasional skin abscess can usually be treated at home. You have a weakened immune system or you were recently hospitalized. You have received an organ transplant. You’re currently receiving chemotherapy or you recently received chemotherapy. The abscess is large, hasn’t healed within 2 weeks, and you also have a fever. The abscess appears to be spreading to other parts of your body. The abscess is becoming more painful or is throbbing. Your skin around the abscess is swollen or extremely red. Diagnosis Once you’ve made an appointment with your doctor, they will review your medical history and perform a physical examination to visually inspect the abscess. A complete physical examination is the best way for your doctor to tell if an injury or ingrown hair is the cause of the abscess. They will also most likely ask you about any associated symptoms, such as a fever. Even if you’re not certain you have an abscess, it’s important to bring it up with your doctor, as an untreated abscess can lead to serious complications and can become life threatening. Home treatment options You can usually treat a skin abscess at home. Applying heat to the abscess can help it shrink and drain. The most useful way of applying heat is to put a warm compress on the abscess. You can make a warm compress by running warm water on a face towel and folding it before placing it on the abscess several times a day for about 10 minutes at a time. Drainage Contact your doctor if the abscess doesn’t heal using home methods. They may want to drain it. To drain the abscess, your doctor will apply a local numbing substance, such as lidocaine, and will then cut the abscess open to allow the fluid to come out. The open abscess is then washed out with saline. After the abscess drains, your doctor will pack the wound with surgical material. This helps it to heal and prevents the abscess from reoccurring. After the procedure is over, your doctor will likely prescribe antibiotics to prevent the wound from becoming infected. Antibiotics Your doctor might prescribe an oral antibiotic depending on the appearance and symptoms of the abscess. The antibiotics that are typically prescribed in this instance include: clindamycin cephalexin dicloxacillin doxycycline trimethoprim-sulfamethoxazole (Bactrim) In some cases, an individual with comorbid conditions (which occur at the same time) or severe infection may require hospitalization and will be given antibiotics through their vein. After treatment, the abscess shouldn’t return.

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