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Articles by Ken Milne, MD, MSc & Christopher Carpenter, MD, MSc
Evidence-Based Medicine

Chief complaint of “abscess.” Quick and dirty. Otherwise-healthy patient with a 4 cm abscess on the right thigh with no surrounding cellulitis. No IV drug use history. No significant co-morbidities, and no previous abscesses. Diagnosis: uncomplicated superficial cutaneous abscess (SCA). You know that antibiotics are probably not necessary after I & D. However, the patient complains of pain when you begin to pack it with iodoform gauze. He asks if packing is really necessary. Is it?

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