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Skin Abscess

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101. Disseminated cryptococcosis with recurrent multiple abscesses in an immunocompetent patient: a case report and literature review. Full Text available with Trip Pro

latex agglutination test has been established as a reliable diagnostic tool with overall sensitivities of 93-100%.We report a rare disseminated cryptococcosis case which presented with chronic recurrent multiple abscess in an immunocompetent male involving skin, lung, spine and iliac fossa without evidence of central nerve system involving. The results of serum cryptococcal latex agglutination tests and standard microbial cultures were negative. The patient underwent empirical anti-bacterial (...) Disseminated cryptococcosis with recurrent multiple abscesses in an immunocompetent patient: a case report and literature review. Cryptococcus neoformans is frequently present as an opportunistic pathogen mainly affecting immunocompromised populations. Disseminated C. neoformans infection in immunocompetent population is rare and usually involves lung and central nerve system. Cryptococcus from biologic samples can easily grow on routine fungal and bacterial culture media. Besides, cryptococcal

2017 BMC Infectious Diseases

102. Primary Care Corner with Geoffrey Modest MD: TMP/SMX For Uncomplicated Skin Abscesses

Primary Care Corner with Geoffrey Modest MD: TMP/SMX For Uncomplicated Skin Abscesses Primary Care Corner with Geoffrey Modest MD: TMP/SMX For Uncomplicated Skin Abscesses | BMJ EBM Spotlight by By Dr. Geoffrey Modest NEJM just a published a study looking at trimethoprim-sulfamethoxazole (TMP/SMX) vs placebo in patients with uncomplicated skin abscesses (see N Engl J Med 2016;374:823). Details: Study done in 5 US ERs, assessing TMP/SMX at dose of 320mg/1600mg (i.e., two DS tablets) twice daily (...) (n=630) for 7 days vs placebo (n=617). Patients had to have the abscess for at least 1 week, and it had to be at least 2cm in diameter, including the induration. Mean age 35; 58% male; 4.0 days of symptoms; 18% with fever; 11% diabetic; 4% with chronic skin conditions; site: 13% head/neck, 21% trunk/abdomen/back, 21% groin/buttocks, 23% arms/hands, 21% legs/feet; mean abscess size 2.5 cm x 2.0 cm x 5cm deep; erythema 7.0×5.0cm; wound culture: 45% MRSA, 16% methicillin-sensitive S. aureus, 12

2016 Evidence-Based Medicine blog

103. What Is the Utility of Ultrasonography for the Identification of Skin and Soft Tissue Infections in the Emergency Department? Full Text available with Trip Pro

and Soft Tissue Infections in the Emergency Department? x Michael Gottlieb , MD, RDMS (EBEM Commentator) , x Ananda Vishnu Pandurangadu , MD (EBEM Commentator) Department of Emergency Medicine, Rush University Medical Center, Chicago, IL DOI: | Publication History Published online: March 15, 2017 Expand all Collapse all Article Outline Take-Home Message Point-of-care ultrasonographic examination of skin and soft tissue infections enhances the ability to differentiate abscesses from cellulitis. Methods (...) Data Sources The authors searched MEDLINE, Web of Science, Cumulative Index to Nursing and Allied Health Literature, EMBASE, and Cochrane Libraries from inception through May 21, 2015, using Medical Subject Headings terms and corresponding key words to capture the concepts of ultrasonography, abscess, cellulitis, and skin and soft tissue infections. Additional searches were performed on , EBSCO discovery tool, and Google Scholar. No language restriction was applied. Gray literature searches were

2017 Annals of Emergency Medicine Systematic Review Snapshots

104. What Is the Utility of Ultrasonography for the Identification of Skin and Soft Tissue Infections in the Emergency Department?

What Is the Utility of Ultrasonography for the Identification of Skin and Soft Tissue Infections in the Emergency Department? TAKE-HOME MESSAGE Point-of-care ultrasonographic examination of skin and soft tissue infections enhances the ability to differentiate abscesses from cellulitis. What Is the Utility of Ultrasonography for the Identi?cationofSkinandSoftTissueInfectionsinthe Emergency Department? EBEM Commentators Michael Gottlieb, MD, RDMS Ananda Vishnu Pandurangadu, MD Department (...) to capture the concepts of ultrasonography, abscess, cellulitis, and skin and soft tissue infections.Additionalsearcheswere performed on clinicaltrials.gov, EBSCO discovery tool, and Google Scholar.Nolanguagerestrictionwas applied. Gray literaturesearches were conducted by soliciting unpublished trials and manually searching all references of full-text articlesreviewedandabstractsfrom major emergency medicine and ultrasonographic conferences. To obtain additional information about trial design

2017 Annals of Emergency Medicine Systematic Review Snapshots

105. Randomised controlled trial: Antibiotics provide no additional short-term benefit to surgical management of paediatric skin abscesses

Randomised controlled trial: Antibiotics provide no additional short-term benefit to surgical management of paediatric skin abscesses Antibiotics provide no additional short-term benefit to surgical management of paediatric skin abscesses | BMJ Evidence-Based Medicine We use cookies to improve our service and to tailor our content and advertising to you. You can manage your cookie settings via your browser at any time. To learn more about how we use cookies, please see our . Log in using your (...) username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? Search for this keyword Search for this keyword Main menu Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? You are here Antibiotics provide no additional short-term benefit to surgical management of paediatric skin abscesses Article Text Therapeutics Randomised controlled

2010 Evidence-Based Medicine

106. Management of Skin Abscesses

Management of Skin Abscesses Rotation Prep | NEJM Resident 360 Social Login Email Login Log in via Email Create Your Account We will not share your email with anyone. Password must be at least 8 characters. Show or Hide the password you are typing. Request to Join has invited you to join this group Your browser does not support video tags Welcome! NEJM Resident 360 helps you prepare for your next rotation quickly and efficiently, provides support for coping with the pressures of resident life

2014 Now@NEJM

107. Brain Abscess

Brain Abscess Brain Abscess Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Brain Abscess Brain Abscess Aka: Brain Abscess (...) , Intracranial Abscess From Related Chapters II. Pathophysiology Frontal, temporal, and s are most commonly affected III. Causes: Source Unknown primary source of abscess in 20-40% of cases Direct Spread (due to ) itis or itis such as bullet fragments (abscess development may be years later) Neurosurgery (abscess development may be >1 year later) Hematogenous spread or empyema in host with chronic lung disease (e.g. , ) Esophageal procedures (e.g. esophageal dilation, management) Pulmonary AV Malformation

2018 FP Notebook

108. Periodontal Abscess

Periodontal Abscess Periodontal Abscess Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Periodontal Abscess Periodontal Abscess Aka (...) : Periodontal Abscess From Related Chapters II. Definition Severe infectious complication of Not synonymous with III. Signs Exquisitely tender, red Fluctuant swelling suggesting abscess in diffuse oral space involvement IV. Management See V. Complications Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Periodontal Abscess." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip

2018 FP Notebook

109. Perianal Abscess

Perianal Abscess Perianal Abscess Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Perianal Abscess Perianal Abscess Aka: Perianal (...) Abscess From Related Chapters II. Epidemiology Represents 60% of III. Pathophysiology Local adjacent to anal verge IV. Signs Superficial tender fluctuant perianal mass Immediately adjacent to anal verge Abscess limited to perianal subcutaneous tissue Digital exam red flags for deep space infection (consider CT and surgery ) Significant intolerance to rectal exam (chandelier sign) Bogginess, tenderness, induration superior to the anal sphincter (supralevator space) Fistula opening with drainage V

2018 FP Notebook

110. Pelvirectal Abscess

Pelvirectal Abscess Pelvirectal Abscess Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Pelvirectal Abscess Pelvirectal Abscess Aka (...) : Pelvirectal Abscess , Supralevator Abscess From Related Chapters II. Pathophysiology spread to above levator ani muscle III. Causes Ruptured IV. Symptoms Back Pain V. Signs VI. Differential Diagnosis High VII. Imaging CT VIII. Labs : IX. Diagnosis: Rectal mucosa fullness on diagnostic testing or X. Management See Colorectal surgery Surgical drainage via intraanal incision XI. References Marx (2002) Rosen's Emergency Medicine, p. 1952 Roberts (1998) Procedures, Saunders, p. 649-51 Images: Related links

2018 FP Notebook

111. Ischiorectal Abscess

Ischiorectal Abscess Ischiorectal Abscess Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Ischiorectal Abscess Ischiorectal Abscess (...) Aka: Ischiorectal Abscess From Related Chapters II. Epidemiology Represents 25% of III. Pathophysiology involving ischiorectal space Anatomic boundaries Lateral to external sphincter Below levator ani IV. Signs: Low Abscess See Infection of fatty tissue below Perianal tenderness and swelling 2-3 cm from anal verge V. Differential Diagnosis High Abscess Low Abscess (immediately adjacent to anal verge) VI. Radiology: Intrarectal Ultrasound Evaluation of complex or suspected high abscess VII

2018 FP Notebook

112. Intersphincteric Abscess

Intersphincteric Abscess Intersphincteric Abscess Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Intersphincteric Abscess (...) Intersphincteric Abscess Aka: Intersphincteric Abscess From Related Chapters II. Pathophysiology within anal spincter wall III. Signs Tender mass in rectal mucosa IV. Management See Surgical referral for drainage under anesthesia V. Differential Diagnosis High VI. References Marx (2002) Rosen's Emergency Medicine, p. 1952 Roberts (1998) Procedures, Saunders, p. 649-51 Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Intersphincteric Abscess

2018 FP Notebook

113. Perirectal Abscess

Perirectal Abscess Perirectal Abscess Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Perirectal Abscess Perirectal Abscess Aka (...) anal sphincter (25%) Inferior to levator ani Two to 3 cm from anal verge ( ) Abscess superior to levator ani Complicated, deep abscess spread from perianal, intersphincter and es May also spread from (PID, , Ruptured ) V. Risk Factors Pregnancy VI. Symptoms Constant, throbbing perianal pain VII. Signs: General Palpable, tender mass in perianal area or in Drainage may be seen via perianal skin tract See VIII. Imaging CT Indicated for evaluation of deep space or complicated abscess ( ) MRI Indicated

2018 FP Notebook

114. Bartholin's Gland Abscess

Bartholin's Gland Abscess Bartholins Gland Abscess Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Bartholin's Gland Abscess (...) Bartholin's Gland Abscess Aka: Bartholin's Gland Abscess , Bartholin's Gland Duct Cyst , Bartholin's Gland Cyst , Bartholin Gland , Bartholin's Abscess , Bartholin Cyst , Word Catheter From Related Chapters II. Epidemiology Bartholin's Gland Duct Cysts and abscess : 2% Most common in adult women under age 30 years III. Pathophysiology Bartholin's Gland Vaginal vestibular glands provide moisture Located at bilateral inferior labia minora Drain via ducts at 4:00 and 8:00 positions of labia Normal

2018 FP Notebook

115. Pancreatic Abscess

Pancreatic Abscess Pancreatic Abscess Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Pancreatic Abscess Pancreatic Abscess Aka (...) : Pancreatic Abscess From Related Chapters II. Pathophysiology Complication of III. Associated Conditions IV. Etiology (most common cause) V. Signs Rapid deterioration following VI. Labs (CBC) VII. Diagnosis CT-guided needle aspiration VIII. Management Surgical drainage of abscess Antibiotics Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Pancreatic Abscess." Click on the image (or right click) to open the source website in a new

2018 FP Notebook

116. Liver Abscess

Liver Abscess Liver Abscess Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Liver Abscess Liver Abscess Aka: Liver Abscess , Hepatic (...) Abscess From Related Chapters II. Causes Aerobic species ( ) ( ) III. Pathophysiology Sources infection Systemic bacteremia Direct extension Ruptured Peptic Ulcer Empyema Majority of abscesses are single Subacute onset over weeks IV. Symptoms Chills Weight loss (50%) Pain may radiate to right V. Signs Right upper quadrant tenderness VI. Labs (CBC) abnormalities increased (AST) elevated (ALT) elevated s (50% sensitive) VII. Radiology Abdominal XRay Right diaphragm elevated or Fluid filled masses VIII

2018 FP Notebook

117. Periapical Abscess

Periapical Abscess Periapical Abscess Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Periapical Abscess Periapical Abscess Aka (...) : Periapical Abscess , Apical Periodontitis , Apical Abscess , Periapical Periodontitis , Suppurative Periapical Periodontitis From Related Chapters II. Pathophysiology Complication of ( ) cavity or injury allows infection to pass through the enamel and dentin into the pulp Infection spreads via the apical foramen at tooth base into the bone Ultimately infection expands into a Periapical Abscess, most commonly at the tooth's buccal aspect III. Symptoms Severe, persistent pain localized to affected tooth

2018 FP Notebook

118. Lung Abscess

Lung Abscess Lung Abscess Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Lung Abscess Lung Abscess Aka: Lung Abscess From Related (...) stains Fungal stains layers on standing s are usually not helpful IX. Diagnosis Bronchoscopy if proximal obstructing tumor is suspected X. Management: Antibiotics Initial IV Dose 10-12 MU IV for 1 dose Subsequent IV Doses V 750-1000 mg IV qid or 600 mg q8h IV Subsequent home dosing 300 mg PO qid for 6 weeks Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Lung Abscess." Click on the image (or right click) to open the source website

2018 FP Notebook

119. Retropharyngeal Abscess

Retropharyngeal Abscess Retropharyngeal Abscess Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Retropharyngeal Abscess (...) Retropharyngeal Abscess Aka: Retropharyngeal Abscess From Related Chapters II. Epidemiology Disease of infants and young children III. Pathophysiology Retropharyngeal lymph nodes not atrophied in children Accumulation of pus in retropharyngeal space Mixed aerobic and anaerobic flora IV. Symptoms (out of proportion to findings) V. Signs May be difficult to appreciate pharyngeal fullness VI. Radiology Lateral neck XRay Bulging of posterior pharyngeal wall CT Neck May demonstrate abscess extent VII. Management

2018 FP Notebook

120. Peritonsillar Abscess

Peritonsillar Abscess Peritonsillar Abscess Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Peritonsillar Abscess Peritonsillar (...) Abscess Aka: Peritonsillar Abscess , Peritonsillitis , Peritonsillar Cellulitis , Quinsy Sore Throat From Related Chapters II. Epidemiology Highest ages 20-40 years old III. Pathophysiology Sequelae of acute or lopharyngitis Progression from exudative to Peritonsillar Cellulitis to Peritonsillar Abscess s (mucous s within ) Reside in , superior to Duct between Weber Gland and develops within the Weber Gland Weber Gland duct obstructs and abscess forms IV. Risk Factors Exudative Abuse V. Etiology

2018 FP Notebook

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