I wouldn't go that far. I would call on him 1st and when he starts his false narrative framing questions and making it about him, just leave. End of the press. Let him ruin it for the rest of them. God bless Stan Lee.
Infections of the vulva can present a complex differential to the gynecologist, ranging from superficial skin infections to lifethreatening necrotizing fasciitis. Recognition and timely treatment remain universal to skin and soft-tissue infections as the subcutaneous anatomy of the vulva can facilitate rapid spread to other tissues with significant morbidity and mortality. Employing a multidisciplinary team approach to care for vulvar cellulitis and abscess can guide treatment from antibiotic therapies to more aggressive surgical debridement. In this report, we describe a case of vulvar abscess caused by Methicillin-resistant staphylococcus aureus MRSA in a postmenopausal woman with underlying diseases of bronchiectasis and atelectasis. Vulvar cellulitis and abscess often present diagnostic and therapeutic dilemmas for the gynecologist. Generally a presumptive diagnosis based on the presentation, physical examination, and risk factors for severe disease guides initial therapy. Although cultures may be of benefit to direct specific antibiotic coverage, in general, laboratory testing and imaging are less useful than a thorough history.
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