ABSTRACT

SURGICAL PRINCIPLES 1. When undertaking surgical drainage of an infected upper limb, which one of the

following is true? A. An Esmarch bandage is recommended to fully exsanguinate the limb. B. Minimal access incisions are preferable, as wounds will need to be left open. C. Arm tourniquets should be avoided, as bacteremia occurs following release. D. Incisions crossing flexion creases should be avoided, as they may cause contractures. E. Immobilization in a splint for 48 to 72 hours postoperatively is generally recommended.

PARONYCHIA 2. A patient presents with a swollen and inflamed digit worse over the distal phalanx