MDM
Nonseptic in appearance. Low c/f osteomyelitis or DVT. No immune compromise, bullae, pain out of proportion, or rapid progression c/f necrotizing fasciitis.
ED Intervention: Patient’s abscess has been incised with acceptable resolution
Rx: Bactrim DS BID x 5 days
Disposition: At this point, patient is stable for discharge, advised to follow up with primary care physician in 48 hours.

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Procedure:
I and D
Attention at this point was placed on the patient’s ___ where the abscess is located.
A time out was undertaken to determine that this was the correct patient and the correct procedure for this patient.
The skin was prepped and cleansed in the usual sterile fashion.
Lidocaine 1% with epinephrine was injected into the dome of the abscess.
Once analgesia was obtained, an 11 blade scalpel was used to incise the entire length of the abscess. The total length of this incision was approx. 2cm.
At this point ___ mL of bloody, purulent fluid was expressed.
All loculations were broken up, the wound was irrigated.
The patient tolerated this procedure well and there were no complications. A dry sterile dressing was placed.

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Physical Exam
Abscess noted to the ___
There is induration and fluctuance.
Surrounding cellulitus is not ___ noted.
There is no crepitus noted.
No pain out of proportion to exam noted.

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HPI
presents with skin swelling for ___ days to the ___.

Patient states that the swelling is getting worse.
Pain is described as moderate in nature.
Patient ___ has history of the same.
No fever.
No IV drug use.