- An abscess is a collection of pus caused by bacterial, protozoan, or fungal infection of body tissues. Abscesses can occur in the skin, gums, bones, or internal organs like the liver, lungs, or brain.
- Treatment involves surgically draining the pus through incision, using antibiotics, or both. When draining an abscess, the area is incised and any loculated pus is broken up to ensure complete drainage and prevent chronicity. Antibiotics are given to treat the underlying infection.
- Proper treatment of an abscess is critical to prevent the spread of infection and allow for full recovery.
Fracture & dislocation is well described in Ayurveda. Sushruta Samhita have a separate chapter for bhagna etiology, features, types, prognosis, Management by name of Bhagna-Kandabhagna-Sandhimukta. The basics principles and management of fracture are accurate as per modern orthopedics.
Fracture & dislocation is well described in Ayurveda. Sushruta Samhita have a separate chapter for bhagna etiology, features, types, prognosis, Management by name of Bhagna-Kandabhagna-Sandhimukta. The basics principles and management of fracture are accurate as per modern orthopedics.
Agnikarma is parasurgical procedure of ayurveda
The AGNIKARMA, DAHAKARMA, DAHANKARMA, DAGDHAKARMA are intentional therapeutic heat burn therapy used for the treatment of diseases caused by vata and kapha doshas..
Here definitions, indications, contraindications, materials required, methods, dahanopkarana, importance, and superiority of agnikarma are mentioned in detail.
Gridhrasi is defined as Stambha (stiffness), Ruk (pain), Toda (pricking pain) in a radiating manner along with Spandana (tingling sensation) starting from Kati Pradesha (low back) to Prushtha (back), Janu (knee joints), Jangha (calf muscles) and Pada (dorso lateral aspect of feet) of either one side of the lower limb or may involve both lower limbs. This condition makes raising of the affected leg difficult.
Jalaukavacharana - Leech Therapy in AyurvedaDr Adithya J V
Leech Therapy in Ayurveda - A unique modality of treatment in Ayurveda - Insights into Scientific Aspects, Mode of Usage and its scope in treatment of Various Diseases.
Agnikarma is parasurgical procedure of ayurveda
The AGNIKARMA, DAHAKARMA, DAHANKARMA, DAGDHAKARMA are intentional therapeutic heat burn therapy used for the treatment of diseases caused by vata and kapha doshas..
Here definitions, indications, contraindications, materials required, methods, dahanopkarana, importance, and superiority of agnikarma are mentioned in detail.
Gridhrasi is defined as Stambha (stiffness), Ruk (pain), Toda (pricking pain) in a radiating manner along with Spandana (tingling sensation) starting from Kati Pradesha (low back) to Prushtha (back), Janu (knee joints), Jangha (calf muscles) and Pada (dorso lateral aspect of feet) of either one side of the lower limb or may involve both lower limbs. This condition makes raising of the affected leg difficult.
Jalaukavacharana - Leech Therapy in AyurvedaDr Adithya J V
Leech Therapy in Ayurveda - A unique modality of treatment in Ayurveda - Insights into Scientific Aspects, Mode of Usage and its scope in treatment of Various Diseases.
Abscess and its types, treatment . SINUS and its typesSatyam
Abscess and its types and their treatment
types- PYOGENIC
ABSCES, PYAEMIC
ABSCESS & COLD
ABSCESS.
SINUS with its types
1. congenital sinus
2. Acquired Sinus
Colostomy power point is very important for studentstembotisa26
This topic will help health worker to know what colostomy is and it will help them to have knowledge on the management of the patient with this condition
Renal Replacement Therapy for Kidney diseasesachintutor
Renal replacement therapy is therapy that replaces the normal blood-filtering function of the kidneys. It is used when the kidneys are not working well, which is called kidney failure and includes acute kidney injury and chronic kidney disease.
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
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- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
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NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Best Ayurvedic medicine for Gas and IndigestionSwastikAyurveda
Here is the updated list of Top Best Ayurvedic medicine for Gas and Indigestion and those are Gas-O-Go Syp for Dyspepsia | Lavizyme Syrup for Acidity | Yumzyme Hepatoprotective Capsules etc
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
3. • Abscess is the collection of pus, a thick,
yellowish fluid caused by bacterial,
protozoan, or fungal invasion of body
tissues.
• Abscesses can occur in the skin, in the
gums, in bone, and in body organs, such as
the liver, the lungs, and even the brain.
• The area surrounding the abscess becomes
red and swollen; sensations of pain and
localized heat are common.
• Treatment may involve surgical incision, the
use of antibiotics, or both.
OVER VIEW
4. DEFINITION
• The extremely deranged and
aggravated vayu, pitta, and kapha,
resorting to the bone and vitiating the
Tvaka (Skin), blood, flesh and fat of
person (with their own specific
properties) gradually give rise to deep
seated , painful round or extended
swelling which is called Vidradhi.
5. CLASSIFICATION
• Six type - vataja, pittaja,
kaphaja, sanipataika,
kshataja and asrikja .
• According to the site it is
divided into two type BAHYA
and ANTAH vidradhi.
6. SITES OF INTERNAL ABSECES
• Mouth of bladder
• About the umbilicus
• In the sides
• Kukshi (inguinal region)
• Vrikkas
• Liver
• Heart
• Kloma
• Spleen
• Rectum
•These are generally found to be seated at :-
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7. NIDANA
• Stale (kept overnight) ,very hot, dry (without
moisture and fat) dried up, those causing
primary sensation during digestion
• Lying on uneven bed, improper movements
of body parts.
• Internal Vidradhi :- Heavy incompatible and
uncongenial food, dry, putrid and
decomposed substances, excessive coitus
and fatigue physical exercise, voluntary
repression natural urges, eating of food
which is followed by an acid reaction
9. Aetiology
• The organisms gain entry to form
abscess by
– Direct infection from outside due to penetrating
wounds,
– Local extension from adjacent focus of infection,
– Lymphatic's,
– Blood stream or haematogenous.
10. Pathology
• The suppurative infection gradually leads to cell
death and liquefaction. Both, cells and exudates are
killed by the toxins of pyogenic organisms.
• Liquefaction of the dead tissue is caused by
proteolytic enzyme released from the dead
polymorphonuclear leucocytes.The resulting yellow
alkaline fluid is called “pus”.
• The surrounding pyogenic membrane consists of
dead tissue and a wall of granulation tissue.
• As recovery starts, this pyogenic membrane is
converted into fibrous tissue and the cavity is
gradually covered with granulation tissue which
transforms into collagen fibres
13. SPECIFIC SYMPTOM OF INTERNAL
ABSCESS
Guda – Supression of flatus.
Bladder – Stangury.
Umblicus – distress, hiccough, rumbling
in intestine.
Flanks – aggravation of vayu.
Vrikka – contraction in sides.
Spleen – Dyspnoea.
Heart – severe pricking pain.
Liver – thirst, hiccough, dyspnoea.
Kloma – intolerable thirst.
14. CLASSIFICATION
• Pyogenic abscess :- it is the commonest
form of an abscess . Sub cutaneous, deep
or it can occur within liver or kidney etc.
• Pyaemic abscess :- It occurs due to
circulation of pyaemic emboli in blood
(pyaemia).
• Cold abscess :- Usually refer to tubercular
abscess either due to involvement of lymph
nodes or involvement of spine.
15. CLINICAL FEATURE
• Calor – Heat
• Ruber – Redness
• Dolar – Pain
• Tumor – Swelling
• Presence of Pus.
–Positive Fluctuation.
–Brawny edema, Pitting on
pressure.
16. PROGNOSIS
Su. Ni.9 / 23
Su.su.33
Curable
doshic abscess with less complication
internal abscess presents as external sinus.
Difficult to cure.
abscess at marma
int abscess above umbilicus which burst and pus
come out through mouth.
int abscess below umbilicus which burst and pus come
out through anus.
Incurable
sannipataja vidradhi.
Abscess at heart, umbilicus, bladder.
Abscess with complication like – obstruction of flatus
& faces, urine, vomitting, dehydration, hiccough,
dyspnoea.
17. GLUMA Vs VIDRADHI
VIDRADHI GULMA
Originates from deranged
organic matter such as
skin, flesh, blood (Dushya)
Does not involve dusya
meaning it never
originates from any Dhatu.
In the pathogenesis of
vidradhi deranged dosha
affects the dhatu & causes
a swelling later it
suppurates.
In gluma dosha itself get
accumulated in a cavity
(Kostha) & causes a
pseudo swelling.
In vidradhi the dusya like
Twak, Rakta get
suppurated or liquification
of tissue are seen
In gluma due to the
absence of dusya it never
suppurates
18. GENERAL TREATMENT
Ekadasha karma during amavastha.
Darana karma in sensitive patients by
using darana dravya like –Chiraavilwa,
Langali, Danti, Chitraka etc.
Bhedana karma by Vridhipatra,
Nakhasastra, Mudrika, Utpalapatraka
by avoiding sira snayu & marma
19. VATAJA VIDRADHI
Before suppuration
Bhadra darvyadigana paste mixed with clarified
butter, oil, vasa may be applied by making luke
warm.
flesh of aquatic animal boiled with kakolyadigana,
kanjika, salt and clarified butter may be applied.
contineous fomentation of vesavara, krisara, milk.
After suppuration
Incised by knife
cleaned by panchamula kasaya.
Oil cooked with Bhadradarvyadigana, Yasthimadhu
& Salt may be used for packing & dressing.
SPECIFIC
TREATMENT
SPECIFIC
TREATMENT
20. PITTAJA VIDRADHI
Before suppuration
paste composed of sugar, fried paddy,
yasthimadhu & sariva may be applied with milk.
Paste of Payasa, Ushira, Chandana & Milk.
Yavakshara, sugar cane juice, milk & Jivaniya
Ghrita
leech application
After suppuration
Incision with Utpalapatraka.
cleaned by Kshiri vriksha kasaya.
Poultice of sesamum, Yasthimadhu, Honey &
Butter or Karanjadi Ghrita may be used for packing
& dressing.
SPECIFIC
TREATMENT
SPECIFIC
TREATMENT
21. KAPHAJA VIDRADHI
Before suppuration
Softened by applying heat with hot brick,
iron, cow dunk, urine etc.
Blood letting by Alabu application
After suppuration
Incision with Utpalapatraka.
cleaned by Aragvadha kasaya.
Poultice of sesamum, Haridra, Trivrit,
Saktu & Honey may be used for packing
& dressing.
SPECIFIC
TREATMENT
SPECIFIC
TREATMENT
23. Anaesthesia – Superficial abscess
may be drained by superficial
anaesthesia (Ethyl chloride spray).
Deep abscess requirs general
anaesthesia.
Incision
Free or Liberal Incision
Hilton’s Incision
Exploration
Counter incision
Drainage
24. Where there is pus, let it out..
• Principle of treatment of an abscess is:
– To drain pus,
– To send a sample of the pus for C/S
– To give proper antibiotic.
• Drainage by Liberal(free) incision or by Hilton’s
method.
• When the presence of abscess is obvious, do not
rely on antibiotic only.
• Administration of antibiotic continuously may lead
to chronicity & form a hard lump, known as
“antibioma”. Avoid: “beating around the bush”.
25. Free incision
• The incision is made on the most prominent
part so as to cause least damage to the
surrounding healthy tissue and on the most
dependent part so that the gravity will help
drainage.
• Incision must be adequate for easy drainage
of pus and to avoid chronicity.
• If there is any important underlying structure
(nerve/vessel), the incision should be made
parallel to those structures.
• Muscle should be incised along the line of
fibers.
26. Exploration
• After the incision has been made upto
the pus cavity and the pus has been
extruded, a finger is inserted into the
abscess cavity and all the walls of the
loculi are broken.
• There must not be any loculi
unbroken, as this will to chronicity.
27. Counter-incision
• When the most prominent part is not the most
dependant part, complete evacuation of the
abscess cavity is not possible.
• So, a counter incision is required at the most
dependant part to facilitate drainage by
gravity.
• Through the first-incision made on the most
prominent part, an artery forceps is pushed to
the most dependant part.
• The blades are slightly made apart, then with
a knife a fresh incision is made on the skin
between the tips of the artery forceps.
28. Closure
• After the pus has been thoroughly drained, a
roller gauze is packed inside the wound.
• There is always bleeding from the surrounding
granulation tissue.
• If the bleeding is slight, the roller gauze is taken
out, but, if the bleeding is troublesome, it can be
kept for 48 hours, after which it is replaced by by
simple corrugated rubber sheet drain.
• Proper systemic antibiotic should be started as
early as possible.
• Some surgeons believe in local antibiotic, but its
place is still controversial.
29. Follow-up
• After 48 hours, the dressing is removed.
• Fresh dressing is done everyday with acriflavine
lotion and sterile gauze.
• If required, proper local antibiotic may be used.
• Rest to the affected part is very important.
• Vitamins should be given to the subjects, who are
thought to be suffering from this deficit.
• Vitamin C should be given to all cases – 500mg
tab OD, as this helps in wound healing.
• Vitamin B complex should always be given with
tetracycline when this antibiotic is the choice.
30. Hilton’s method
• This method is chosen when there are plenty of
important structures like nerves and vessels
around the abscess cavity.
• The skin and subcutaneous tissue are incised.
• A pair of artery forceps or sinus forceps is
insinuated through the deep fascia into the
abscess cavity.
• The blades are now gradually opened and the
pus is seen extruding out.
• The forcep is taken out with the jaws open to
increase the opening.
• Now, a finger is introduced to explore properly as
described above.
31. Post op measure
Rest to the part.
antibiotics – preferably by c/s.
Regular dressing, Gradual
lighter packing.
NSAID.
34. Abscess of the neck
• This usually results from suppuration of the
regional lymph nodes.
• It may occur from extension of alveolar
abscess.
• For cosmetic reason, horizontal incision
along the natural crease is preferred.
• Only when the abscess runs along the
direction of the sternomastoid, an incision
along its anterior border is made.
• The abscess is drained by Hilton’s method.
35. Abscess of the axilla
• This abscess is caused by suppurative lymphadenitis.
• Sometimes, axillary abscess may occur from boils
affecting many hair follicles or sweat glands.
• With fully abducted arm the incision is made ½ an inch
behind the anterior fold of axilla to avoid the major vessels
and nerves.
• At this place, there is no important structure.
• Moreover, the pus is usually located behind the pectoralis
major muscle.
• Drainage of the pus is done by Hilton’s method.
36. Abscess of the groin
• Such abscess occur as suppurative condition of the
inguinal lymph nodes.
– The medial group of horizontal lymph nodes is involved from
infection of the external genitalia,
– The vertical group is involved from infection of the lower
limb.
• Incision:
– For the medial group of lymph nodes, a transverse incision
along the most prominent and dependent part of the
abscess cavity is made.
– For the vertical group, a vertical incision along the abscess
is preferred parallel to femoral vessels so as to protect these
vessels. An added advantage of this incision is that the
wound is likely to gape when thigh is bent, thus providing
better drainage.
37. Popliteal abscess
• This abscess is caused by 3 conditions:
– Suppuration of the regional lymph nodes,
– Osteomyelitis of the lower end of femur or upper
end of tibia,
– Infection of the local cellular tissue.
• Incision:
– It is made slightly medial to the lateral border of
the popliteal space parallel to the biceps tendon.
– Obviously, this incision is on the lateral on the
popliteal space.
– Care must be taken not to injure the lateral
popliteal nerve.
38. Gluteal abscess
• This abscess is often caused by infection
of a haematoma.
• Intragluteal injection in the form of
intramuscular administration of various
drugs may cause gluteal abscess.
• Quinine injection is a common cause.
• Incision:
– A free incision is made over the most prominent
and dependant part of the gluteus maximus
(downwards & laterally).
– Counter incision may not be required.
39. Iliac abscess
• It is also due to infection of a haematoma within
the iliac muscle.
• Clinically, it mimics very closely to an
appendicular abscess.
• But, it is slightly lateral to the usual position of
appendicular abscess.
• Moreover, Rovsing’s sign is absent here.
• Incision:
– It is made just above & parallel to the iliac crest.
– The structures are cut right up to the abscess cavity along
the line of incision.
– Care must be taken not to open the peritoneal cavity, as it
is obliterated by adhesion’s.
40. Deltoid abscess
• Such abscess is usually caused by
infection of haematoma or
intramuscular injection.
• Incision:
– A free longitudinal incision is made over the most
prominent part of the abscess in the direction of
the deltoid muscle fibres.
– A counter incision at the most dependant part
sometimes becomes necessary.
41. Abscess of the sole & heel
• Such abscess usually caused by prick of a thorn or
a needle or secondary to acute osteomyelitis of the
calcaneum.
• Incision:
– A free incision is made on the most prominent part of
the swelling along the lateral or medial margin of the
sole.
– So, scar from healing of drainage wound remains
away from the weight bearing areas.
– Sometimes, such abscess is a ‘collar stud’ - one with
superficial & deep parts connected through a small
nick in the plantar fascia.
– So, care must be taken to drain the deep part as well
as by extending incision on the plantar fascia.