Skin Abscess

HISTORY:

‍Tender lumpRednessSwellingPainPus drainage for ‍ ‍hoursdays

Location: ‍rightleft ‍scalparmpitbreastbackupper buttockanus

‍redness

‍swelling

‍pain

‍heat

‍purulent discharge

‍fever, up to ‍°, over ‍ ‍hoursdays

‍chills

‍fatigue

Worsening factors: ‍none

Treatments tried: ‍none, ‍effectiveineffective



EXAM:

General appearance: ‍well-appearing

Vital signs: ‍normal, BP ‍, HR ‍, RR ‍, SpO2 ‍ %, Temp ‍°

Skin: ‍no rash



ASSESSMENT:

‍Skin abscess ‍likelysuspectedpossible

DDx: ‍



PLAN:

- Blood work: ‍CBC, ‍CRP

- Wound culture

- Ultrasound if deep abscess suspected

- CT scan if deep infection suspected

- Warm compresses

- Incision and drainage

- Wound dressing

- ‍Analgesics

- ‍Antibiotics

- Referral to general surgeon

- Follow-up in ‍ ‍daysweeks

- Return if redness expands, fever develops, or if new symptoms occur