Torsion or infarction of an accessory spleen? 🧐

Recruitment of collapsed lung.

According to german paed. ID Society presence of signs of lymphangitis indicates antibiotic therapy. In all other cases intensiv local antiseptic therapy is sufficient. I usually give antihistaminic and rarely steroids. #noexpert

This site however is tricky; risk of cartilage necrosis “pinna”.

Du musst deinen Patienten verstehen! Nicht einfach in Automatismus verfallen. Aktiv verstehen und aktiv handeln!