Question

In: Nursing

John, a 22 year old construction worker, presented to his primary care doctor with a swollen...

John, a 22 year old construction worker, presented to his primary care doctor with a swollen red spot on his upper back. John is overweight and has high blood pressure, for which he takes a diuretic daily. He works outdoors and since it is summer he gets hot and sweaty and will often change his shirt during the day at work. He states over the last few days he has had a sore spot on his back that has gotten larger and it now hurts when he leans back against a chair. During a physical he was found to have a low grade fever, and a fluctuant abscess that was 2cm x 3 cm ovoid, with another 2 cm in surrounding erythema. The area was very tender to the touch and so his doctor performed an I & D (incision and drainage) of the site in the office and prescribed John an oral antibiotic. The wound was packed with gauze and he was told to return in 2 days to have the gauze removed.

Please respond to each of the following in your reply:

  1. What are the most common causative agents for abscess formation?
  2. If John did not go to his doctor what are some complications that could occur from not seeking treatment for his abscess?
  3. What was the purpose of giving John an oral antibiotic and why was the wound packed with gauze?

Solutions

Expert Solution

Abscess is the collection of pus in the tissue cavity created by the action of the bacteria which enter through the wounds or skin broken barrier. The bacteria in the cavity multiple and as foreign agent the immune system response causing to redness, inflammation, pain, swelling and heat.

Causative agent of abscess formation.

1. Staphylococcus aureus

2. Streptococcus

3. Mycobacterium

4. Anaerobes and gram-negative organisms

Complication of untreated abscess.

1. Spread of infection organ

2. Blood poisoning or sepsis

3. Gangrene

4. Bone infection or osteomyelitis

Use of oral antibiotic in treatment of abscess

Physician prescribed the antibiotic after the drainage of the pus from the abscess to prevent further more multiplication of bacteria at the wound site and improve the outcome of the treatment. It also decreases the rate of occurrence.

Use of gauze pad.

Gauze pad or packing absorb the drainage of the wound and remaining exudate, it help the tissue to heal from inside out. Also prevent the incision for prematurely closer without drainage of wound.

   

FOR ANY DOUBT POST A QUESTION IT WILL BE HIGHLY APPRECIATED..


Related Solutions

A 34-year-old construction worker presents to his Primary Care Provider (PCP) with a chief complaint of...
A 34-year-old construction worker presents to his Primary Care Provider (PCP) with a chief complaint of passing foul smelling dark, tarry stools. He stated the first episode occurred last week, but it was only a small amount after he had eaten a dinner of beets and beef. The episode today was accompanied by nausea, sweating, and weakness. He states he has had some mid epigastric pain for several weeks and has been taking OTC antacids. The most likely diagnosis is...
A 32-year-old Asian American construction worker visits his primary care physician with a 2-inch cut on...
A 32-year-old Asian American construction worker visits his primary care physician with a 2-inch cut on the anterior aspect of his right hand. He lacerated his hand while fixing a barbed-wire fence 5 days ago. He told his wife that he did not have time to go to his primary care provider for such a small cut. The primary care provider noted the wound bed to be erythemic, swollen, and with a small amount of purulent greenish drainage on the...
A 22 year old female with no previously known medical history presented to her primary care...
A 22 year old female with no previously known medical history presented to her primary care doctor for a 2 month history of intermittently increased spasticity of her upper extremities and intermittent paralysis of her lower extremities with no known cause. She states that her symptoms seem to “come and go” without a known cause, usually worse in the mornings. Her biomedical engineering college professors have not been very accommodating to her symptoms, however, and have instructed her to be...
Mr. R, a 42-year-old, is seen in a primary care clinic for a painful and swollen...
Mr. R, a 42-year-old, is seen in a primary care clinic for a painful and swollen toe. The healthcare provider diagnoses Mr. R with gout after bloodwork reveals he has hyperuricemia. Mr. R has the following questions: Why do I have gout, and what is gout? Will I have this for the rest of my life? What is the treatment plan for gout? As the nurse, how will you respond appropriately to each of Mr. R’s questions? What type of...
A 71-year-old ex-construction worker is admitted to a long-term care facility in his hometown. His wife...
A 71-year-old ex-construction worker is admitted to a long-term care facility in his hometown. His wife and children are no longer able to provide him care at home since he suffered a brain attack (stroke). He has residual left-sided weakness and dementia. He is unable to walk unassisted and gets confused at times. Based on Maslow’s hierarchy of human needs, how will each of his basic human needs is met in the long-term care facility? Which of Maslow’s basic human...
QUESTIONS A 71-year-old ex-construction worker is admitted to a long-term care facility in his hometown. His...
QUESTIONS A 71-year-old ex-construction worker is admitted to a long-term care facility in his hometown. His wife and children are no longer able to provide him care at home since he suffered a brain attack (stroke). He has residual left-sided weakness and dementia. He is unable to walk unassisted and gets confused at times. Based on Maslow’s hierarchy of human needs, how will each of his basic human needs is met in the long-term care facility? Which of Maslow’s basic...
Mr. B, a 70-year-old male client, presented to his primary care physician with complaints of blurred...
Mr. B, a 70-year-old male client, presented to his primary care physician with complaints of blurred vision and headaches over the last two months. On several visits, Mr. B's blood pressure was found to be elevated, so the physician started him on hydrochlorothiazide 25 mg by mouth daily. One month later, Mr. B began to have chest pains and shortness of breath, so his primary care provider referred Mr. B to a cardiologist for further evaluation. The cardiologist ordered an...
John is a 32 year old IT worker with a wife and a 3 year old...
John is a 32 year old IT worker with a wife and a 3 year old child. During a previous physical, it was noted that John has an ‘obese’ BMI of 33. John attributed his weight problem to a lack of exercise because of his work/family life, and because of his moderate to severe asthma. John mentioned that he regularly The only prescription John was taking at the time of that former visit was prednisolone, an asthma medication he has...
A 20-year old college male presented at the student health clinic with swollen salivary glands and...
A 20-year old college male presented at the student health clinic with swollen salivary glands and was diagnosed with mumps. This diagnosis was based upon the characteristic symptom known as____________. Question 1 options: Goiters Parotitis Koplic's spots Buboes Which of the following pathogens does NOT cause a respiratory illness? Question 3 options: Streptococcus pneumonieae Influenza virus Clostridium difficile Mycobacterium tuberculosis The presence of gram-positive diplococci in a sputum sample most likely indicates an infection by? Question 4 options: Streptococcus pneumoniae...
A 3-year-old boy was brought by his mother to the pediatrician for swollen jaw. The boy...
A 3-year-old boy was brought by his mother to the pediatrician for swollen jaw. The boy also presented with fever, pain in chewing and swallowing. 36. What organ related to the digestive tract is involved in this disease? 37. What complication in the male reproductive system can this condition produce? 38. What is the product of the organ involve 39. The histologic appearance of the organ involved in this condition is somewhat similar to what other organ related to the...
ADVERTISEMENT
ADVERTISEMENT
ADVERTISEMENT