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Diagnose this SQ mass

Test your knowledge with the September 2019 Brain Teaser

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Photo courtesy Phil Zeltzman

This hunting dog had an enlarging SQ mass. The incision was made to drain and culture the purulent content. The culture revealed Actinomyces.


  1. What’s your presumptive diagnosis?
  2. What would you do next?
  3. What is the typical sequence of events?
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