In the emergency room, a 70-year-old morbidly obese woman reports she has an ingrown hair on the right vulva. In the past day, it has grown dramatically in size. It is quite painful at rest and exquisitely painful with touch. She denies fever, nausea, or vomiting. Denies sexual activity in the past 10 years. Denies vaginal bleeding, discharge, and itching. Her past medical history is significant for diabetes for the past 40 years, hypertension, and urinary incontinence for which she wears pads. She states her blood sugar was in poor control in the past day or so. She does not smoke or have any other pertinent social history. Her medications include insulin and blood pressure medication. She denies a significant surgical history and had two term vaginal deliveries.