Paronychia
Age: years old
Gender:
HISTORY:
Presents with a - history of
Location is on
Symptoms include:
, up to °, over
Alleviating factors: ,
Contributing factors:
no history of: , ,
EXAM:
Finger: : on , range of motion
ASSESSMENT:
DDx: acute paronychia, chronic paronychia, herpetic whitlow, felon, ingrown toenail, cellulitis, hand-foot-and-mouth disease, fungal nail infection, psoriasis, contact dermatitis, eczema, gout, phalange fracture, foreign body reaction, squamous cell carcinoma, melanoma
PLAN:
Investigations:
- Pus culture
Treatments:
-
-
-
- Incision and drainage
- Warm soaks in Dakin's solution (1 teaspoon of bleach in 1 cup of water)
- Avoidance of nail biting or picking
Further care:
- Follow-up in
- Return if redness expands, fever develops, or if new symptoms occur
HISTORY: EXAM: ASSESSMENT: PLAN: