Abscess drainage and minor procedures — branching viva

Emergency department: a 6-year-old presents with a 4 cm tender, fluctuant, pointing lump on the thigh and surrounding cellulitis. The examiner asks how you would assess the child, how you would anaesthetise and drain the abscess, and how you would choose between packing and a loop — then branches to the weight-based local anaesthetic dose and the prevention of local anaesthetic systemic toxicity, to the red flags that would have escalated this to a surgical referral, and finally to a 4-month-old male infant with a perianal abscess and the conservative-first approach.