CTAS 3. A 34-year-old who injects drugs has a 4-cm fluctuant forearm abscess with surrounding cellulitis. Temp is 38.1°C, HR 104, and ultrasound

Question

CTAS 3. A 34-year-old who injects drugs has a 4-cm fluctuant forearm abscess with surrounding cellulitis. Temp is 38.1°C, HR 104, and ultrasound confirms a drainable collection. There is no necrosis. What is the most appropriate initial management?

Accepted Answer

Incision and drainage plus antibiotics covering MRSA risk

Answer

Antibiotics without drainage

Answer

Immediate amputation consult

Answer

Compression dressing alone

Answer

Topical mupirocin alone

Cellulitis with abscess — RCPSC EM MCQ

CTAS 3. A 34-year-old who injects drugs has a 4-cm fluctuant forearm abscess with surrounding cellulitis. Temp is 38.1°C, HR 104, and ultrasound confirms a drainable collection. There is no necrosis. What is the most appropriate initial management?