Snake Bites and The Missed MIFull episode audio for MD edition256:35 min - 298 MB - M4AEM:RAP 2016 May Aussie EditionAustralian42:06 min - 58 MB - MP3EM:RAP 2016 Mai Résumé en FrancaisFrançais64:00 min - 88 MB - MP3EM:RAP 2016 Mayo Resumen EspañolEspañol78:00 min - 107 MB - MP3EM:RAP 2016 May Canadian EditionCanadian25:09 min - 35 MB - MP3EM:RAP 2016 May German EditionDeutsche107:44 min - 148 MB - MP3EM:RAP 2016 May Board Review Answers172 KB - PDFEM:RAP 2016 May Board Review Questions159 KB - PDFEM:RAP 2016 May MP3329 MB - ZIPEM:RAP 2016 May Written Summary626 KB - PDF
Rabbott - May 24, 2016 1:43 PM
Want to make your I&D less smelly, get uncontaminated material for culture, not drip pus all over your patient and the surroundings, and make cleanup easier? Needle drain the abscess - drain it dry. Then, if you still feel the need to do an open procedure, you'll have a minimal amount of pus exposed to the open air. Some older articles suggest that if you do a needle drainage, little additional advantage is provided by an open drainage.
Alfred S. - May 24, 2016 1:57 PM
I agree some abscesses can be treated with simple needle aspiration, hence the change in management of the breast abscesses, however I think the recommendation for most is still I&D. I like the idea of getting the culture that way though, but if you aspirate the abscess dry I find it harder to do the I&D because the pocket has collapsed.