Subungual hematoma: Difference between revisions
(classifications) |
No edit summary |
||
| Line 18: | Line 18: | ||
#Instruct pts to soak affected finger in warm water BID-TID x7d | #Instruct pts to soak affected finger in warm water BID-TID x7d | ||
===Complex== | ===Complex=== | ||
#Nail removal only recommended if there is associated nail avulsion or nail fold disruption | #Nail removal only recommended if there is associated nail avulsion or nail fold disruption | ||
Revision as of 17:49, 31 January 2013
Background
- Consider intervention for hematoma >50% of nail bed
Considerations
- melanoma
- kaposi sarcoma
- endocarditis
Types
- Simple - no nailbed dislocation, no e/o open fracture
- Complex - beyond simple
Management
Simple
- Trephination
- Handheld cautery works best
- Instruct pts to soak affected finger in warm water BID-TID x7d
Complex
- Nail removal only recommended if there is associated nail avulsion or nail fold disruption
See Also
Source
- Tintinalli