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Postoperative wound infection — USMLE Step 3 MCQ

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ModerateSurgery (post-operative, follow-up)Postoperative wound infectionUSMLE Step 3

A 61-year-old woman is seen 7 days after colectomy. She has increasing incisional pain and purulent drainage. Temperature is 38.3°C. The wound edges are erythematous and tender with fluctuance. Blood pressure is normal. Which of the following is the most appropriate next step in management?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: C — Open the incision and drain the wound

Superficial surgical site infection with purulence requires opening and drainage, with antibiotics depending on severity and cellulitis.

Reference: ACS/SAGES perioperative care principles and standard surgical management guidance: https://www.facs.org/