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Community Medicine Rants - Breast Abscess

Al Sacchetti, MD
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09:56
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Nurses Edition Commentary

Mizuho Spangler, DO, Lisa Chavez, RN, and Kathy Garvin, RN
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01:37

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EM:RAP 2016 May Written Summary 626 KB - PDF

There are two things Al Sacchetti hates: Being wrong and being wrong after insisting he was right.

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Rabbott -

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., M.D. -

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.

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Snake Bites and The Missed MI Full episode audio for MD edition 256:35 min - 298 MB - M4AEM:RAP 2016 May Aussie Edition Australian 42:06 min - 58 MB - MP3EM:RAP 2016 Mai Résumé en Francais Français 64:00 min - 88 MB - MP3EM:RAP 2016 Mayo Resumen Español Español 78:00 min - 107 MB - MP3EM:RAP 2016 May Canadian Edition Canadian 25:09 min - 35 MB - MP3EM:RAP 2016 May German Edition Deutsche 107:44 min - 148 MB - MP3EM:RAP 2016 May Board Review Answers 172 KB - PDFEM:RAP 2016 May Board Review Questions 159 KB - PDFEM:RAP 2016 May MP3 329 MB - ZIPEM:RAP 2016 May Written Summary 626 KB - PDF

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