{"id":775,"date":"2010-12-02T16:51:06","date_gmt":"2010-12-02T16:51:06","guid":{"rendered":"https:\/\/cloverock.info\/mockosce23\/new\/purulent-inflammation\/"},"modified":"2024-06-13T15:03:19","modified_gmt":"2024-06-13T14:03:19","slug":"purulent-inflammation","status":"publish","type":"post","link":"https:\/\/www.qpercom.com\/sim\/index.php\/minor-surgery\/theoretical-background\/purulent-inflammation\/","title":{"rendered":"Purulent Inflammation"},"content":{"rendered":"<hr \/>\n<p><span style=\"color: #003366;\">Symptoms of a <span style=\"color: #33cccc;\"><strong>local inflammatory reaction<\/strong><\/span> include <span style=\"color: #33cccc;\"><strong>redness<\/strong><\/span>, <span style=\"color: #33cccc;\"><strong>pain<\/strong><\/span>, <span style=\"color: #33cccc;\"><strong>swelling<\/strong><\/span>, <span style=\"color: #33cccc;\"><strong>warm sensations<\/strong><\/span>, and <span style=\"color: #33cccc;\"><strong>functional limitations<\/strong><\/span> (<em>rubor, dolor, tumour, calor, and functio laesa<\/em>).<\/span><\/p>\n<p><span style=\"color: #003366;\"><span style=\"color: #33cccc;\"><strong>Acute inflammation<\/strong><\/span> produces an infiltrate that can reabsorb, abscess, or progress into interstitial tissue (<em>phlegmon<\/em>). The resorption of infiltrate (<em>= local accumulation of fluid, protein, and leucocytes in tissue<\/em>) can be promoted by taking conservative measures (<em>rest, elevation of the affected body part, and wet compresses<\/em>). When the inflammatory process cannot be controlled with conservative therapy, it may become an <span style=\"color: #33cccc;\"><strong>abscess<\/strong><\/span>. An abscess is an accumulation of pus in a newly formed cavity, surrounded by an abscess wall. An abscess arises when infiltrate is liquefied, so that in the acute phase the abscess remains surrounded by infiltrate.<\/span><\/p>\n<p><span style=\"color: #003366;\">When tissue proteolysis due to enzymes and bacterial toxins progresses, the abscess \u201c<em>ripens<\/em>\u201d and becomes palpable as a fluctuating swelling. The abscess can break through the surface spontaneously. It is better to perform incision and drainage (<em>where there is pus, it must be evacuated<\/em>). Antibiotics are no longer used for abscess because they inhibit the immune response and may cause the abscess to become encapsulated. General practitioners should not attempt the following: <span style=\"text-decoration: underline;\">incision of a peri-anal abscess<\/span>, <span style=\"text-decoration: underline;\">abscess with mastitis<\/span>, <span style=\"text-decoration: underline;\">carbuncle<\/span>, <span style=\"text-decoration: underline;\">panaritium ossale<\/span> or <span style=\"text-decoration: underline;\">tendineum<\/span>, and the <span style=\"text-decoration: underline;\">excision of hidradenitis suppurativa<\/span>. These disorders should be left to the specialist because local anaesthesia is insufficient. There is therefore insufficient pain control for an adequate procedure to be performed. Peri-anal abscesses usually originate as fistulae, which must also be radically excised. The following disorders may be addressed by a general practitioner.<\/span><\/p>\n<hr \/>\n<p><span style=\"color: #003366;\"><em><strong>Superficial Abscess<\/strong><\/em><\/span><\/p>\n<p><span style=\"color: #003366;\">(<em>An abscessed keratinous cyst<\/em>).<\/span><\/p>\n<p><span style=\"color: #003366;\"><strong><em>Therapy:<\/em><\/strong> Incision and drainage.<\/span><\/p>\n<hr \/>\n<p><span style=\"color: #003366;\"><em><strong>Furuncle<\/strong><\/em><\/span><\/p>\n<p><span style=\"color: #003366;\">This is an acute inflammation originating in the hair follicle and caused by Staphylococcus aureus.<\/span><\/p>\n<p><strong><span style=\"color: #003366;\"><em>Therapy: <\/em><\/span><\/strong><\/p>\n<ul>\n<li><span style=\"color: #003366;\">In the infiltrative stage, local Betadine\/iodine ointment.<\/span><\/li>\n<li><span style=\"color: #003366;\">After abscessing, incision and drainage (<em>furuncles usually have central necrosis and no abscess<\/em>).<\/span><\/li>\n<li><span style=\"color: #003366;\">Antibiotics are contra-indicated. Exceptions are the nasal furuncle or furuncles located elsewhere on the face (<em>risk of sinus cavernosus thrombosis and sepsis via the angular vein<\/em>).<\/span><\/li>\n<\/ul>\n<hr \/>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Symptoms of a local inflammatory reaction include redness, pain, swelling, warm sensations, and functional limitations (rubor, dolor, tumour, calor, and functio laesa). Acute inflammation produces an infiltrate that can reabsorb, abscess, or progress into interstitial tissue (phlegmon). The resorption of infiltrate (= local accumulation of fluid, protein, and leucocytes in tissue) can be promoted by [&hellip;]<\/p>\n","protected":false},"author":83,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[75],"tags":[146],"class_list":["post-775","post","type-post","status-publish","format-standard","hentry","category-theoretical-background","tag-minor-surgery"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Purulent Inflammation - Qpercom | Skills in Medicine<\/title>\n<meta name=\"description\" content=\"Online Mock OSCEs with examiners, patient actors, instant results and personalised feedback. 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