Can a hospitalist do an abscess I & D if there is no general surgeon?
if you admit a patient for a gluteal cellulitis and they form an abscess and you don't have gen Surg back up would a hospitalist be allowed to make a small knick and drain the abscess if they feel comfortable managing it? (Source: Student Doctor Network)
Source: Student Doctor Network - December 30, 2023 Category: Universities & Medical Training Authors: wrkndply Tags: Internal Medicine and IM Subspecialties Source Type: forums
"More cyst than abscess;" what is it? how to manage?
PGY-1 here with little experience with abscesses.
On my second shift we had a patient come in with an "abscess." It looked like an abscess externally, even was expressing some pus. However, I&D expressed almost exclusively blood. There was little change in size of the mass. The attending said "it was more cyst than abscess." I've never heard/read about this before; everything I've read about relates to abscess vs. cellulitis vs. NSTI. Never heard about cyst.
Here are my questions:
1) How...
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Source: Student Doctor Network - July 17, 2021 Category: Universities & Medical Training Authors: tdod Tags: Emergency Medicine Source Type: forums
Re: What diagnostic strategies can help differentiate cellulitis from other causes of red legs in primary care?
(Source: BMJ Comments)
Source: BMJ Comments - February 27, 2020 Category: General Medicine Source Type: forums
Necessity of Lactate for every person with a potential infection
I've been thinking about this a lot over the past several months.
Where I work, if a patient has an infection or potentially an infection, it's almost reflexive to order a lactate. This is irrespective of the patient history, vital signs, or physical exam.
For instance, we (meaning the ER docs) get lactates on the following
- routine leg cellulitis of a middle aged patient with no PMH and normal vitals signs.
- cough with temp 99.6, everything else on H&P is OK
- a butt abscess and HR...
Necessity of Lactate for every person with a potential infection (Source: Student Doctor Network)
Source: Student Doctor Network - April 10, 2019 Category: Universities & Medical Training Authors: thegenius Tags: Emergency Medicine Source Type: forums
Strep vs Staph
Why does Strep cause cellulitis and Staph cause abscesses? (Source: Student Doctor Network)
Source: Student Doctor Network - February 10, 2018 Category: Universities & Medical Training Authors: kwhippy Source Type: forums
Step 3 CCS Discharge Orders
Can anyone clarify if we are ever putting in true discharge orders? For example if I want to send someone home with a trial of antibiotics for a simple cellulitis how exactly do you make this happen?
Do you put the antibiotic in the normal order field (along with some basic labwork maybe) and click continuous and then move them to home with a follow up in 2-3 days?
Not sure if that's a realistic example but hopefully someone can help me out. Thanks! (Source: Student Doctor Network)
Source: Student Doctor Network - December 6, 2017 Category: Universities & Medical Training Authors: wonderbread12 Source Type: forums
Lexapro in kids?
So, I was seeing a 15 yo boy admitted for cellulitis to peds floor, in the consult service who was prescribed Lexapro by his outpatient physician for anxiety. We were consulted for evaluation of his anxiety during day time. Very tiny dose of 10 mg. His mom didn't get it for him yet because they were worried about side effects. I definitely feel he would benefit from the medication but I have not seen it used to much in younger kids. I would rather just go with Prozac for the longer half...
Lexapro in kids? (Source: Student Doctor Network)
Source: Student Doctor Network - March 26, 2017 Category: Universities & Medical Training Authors: Accurate219 Source Type: forums
