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 Medindia » Medical Education » Distance Education »  Incision and Drainage of abscess - Fluctuation
 Incision and Drainage of abscess
.Common Procedures in the Bedside
.Anaesthesia
.Fluctuation
.Incision
 Pharma
 CME Lessons
Incision and Drainage of abscess
Fluctuation

1. Tender red fluctuant swelling could mean abscess ready for I & D.

2. All fluctuant swellings are not abscesses

3. When in doubt carry out a preliminary needle aspiration for confirmation

4. Do not wait for fluctuation as a sign for abscess of parotid-perirectal area and breast (Brawny induration is adequate).













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Member Comments ( 7 )
Can 1%xylocaine be used in inflammed parts?
(Posted by dr.prash, India Date : 9/4/2011 )
I currently have an abscess on my face in my left cheek. I have had to IV drips and am on oral antibiotics. The dr made a little cut in my face to drain it. I have been bak 2 days now and have had it squeezed and more gauze put in but it doesn't seem to be getting any better, If anything I think it's getting worse. Can someone tell me if I can get it drained because of where it is on my face? As my doctor is unsure of this.
(Posted by Stevie, Australia Date : 5/13/2011 )
why not wait till fluctuation appears in areas like breast, parotid and perirectal area?
(Posted by drakshay, India Date : 3/3/2011 )
I saw a pt in my clinical with a cellulitis questionable MRSA infection.
there was a pinpoint area of puss then 1cm out and around the area was an area of induration then about 1.5 inches out from the pinpoint area of puss the skin was erythemic. should this have had an I & D?
(Posted by Carlos5, United States Date : 2/16/2011 )
very insightful article
(Posted by gooddocking, United Kingdom Date : 5/13/2010 )
View All Comments (7)


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