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PAST MEDICAL HISTORY: Glaucoma with blind right eye, arthritis, and anemia.

MEDICATIONS: Eyedrops and multivitamins.

FAMILY HISTORY: Negative for GI malignancies, inflammatory bowel disease, or peptic ulcer disease.

SOCIAL HISTORY: Negative for tobacco and alcohol use.

REVIEW OF SYSTEMS: No nausea, vomiting, abdominal pain, fevers, chills, melena, bright red blood per rectum, loss of appetite, or weight loss.

PHYSICAL EXAMINATION: Examination confirms a 3-cm soft tissue mass with associated erythema overlying the region of the left scapula. There is no evidence of any left axillary adenopathy. The patient is very symptomatic from this, and requested that immediate surgical drainage be undertaken. He is not using any aspirin. Systolic blood pressure is 130. The left scapular area was prepped and draped in a sterile manner. A field block was obtained with topical anesthetic. A transverse incision was made and a large amount of what appeared to be grossly ruptured sebaceous cyst with bloody material was expressed. The wound was debrided. Specimens were submitted for histology and culture. Following successful debridement, the wound was packed with gauze. Sterile dressing was applied. Given the lack of any cellulitis and the successful drainage of this, antibiotic therapy was not given.