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Treatment typically involves antibiotics for bacterial infections and antifungals for fungal infections. If there is pus formation, incision and drainage may be necessary. [2] Paronychia is commonly mistakenly used interchangeably with herpetic whitlow or felon, which are distinct conditions. [2]
Incision and drainage (I&D), also known as clinical lancing, are minor surgical procedures to release pus or pressure built up under the skin, such as from an abscess
In this procedure, the affected toe is anesthetized with a digital block and a tourniquet is applied. An incision is made proximally from the base of the nail about 5 mm (leaving the nail bed intact) then extended toward the side of the toe/toenail in an elliptical sweep to end up under the tip of the nail about 3–4 mm in from the edge.
Paronychia is a bacterial or fungal infection where the nail and skin meet. Koilonychia is when the nail curves upwards (becomes spoon-shaped) due to an iron deficiency. The normal process of change is: brittle nails, straight nails, spoon-shaped nails.
An ingrown nail, also known as onychocryptosis (from Greek: ὄνυξ (onyx) 'nail' and κρυπτός (kryptos) 'hidden') is a common form of nail disease.It is an often painful condition in which the nail grows so that it cuts into one or both sides of the paronychium or nail bed.
Depending on the amount of drainage, a patient may have the drain in place one day to weeks. Drains will have protective dressings that will need to be changed daily/as needed. The routine use of drains for surgical procedures is diminishing as better radiological investigation and confidence in surgical technique have reduced their necessity.
If the abscess does not heal only with incision and drainage, or if the abscess is in a place that is difficult to drain such as the face, hands, or genitals, then antibiotics may be indicated. [ 1 ] In those cases of abscess which do require antibiotic treatment, Staphylococcus aureus bacteria is a common cause and an anti-staphylococcus ...
Subungual hematoma; Other names: Runner's toe, tennis toe, skier's toe: Subungal haematoma of the fourth finger: Specialty: Internal medicine, Podiatry: Symptoms: Discoloration of nail, pain