Hand cellulitis: Difference between revisions
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*Range of motion of digits, hand, and wrist should not be painful | *Range of motion of digits, hand, and wrist should not be painful | ||
**Pain predicts extensive involvement and the need for inpatient management | **Pain predicts extensive involvement and the need for inpatient management | ||
==DDX== | |||
{{Template:Hand Infection DDX}} | |||
==Treatment== | ==Treatment== | ||
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==See Also== | ==See Also== | ||
[[Hand Infection]] | *[[Hand Infection]] | ||
*[[Cellulitis]] | |||
==Source== | ==Source== | ||
Revision as of 05:27, 21 March 2014
Background
- Remove rings if infections are near the digits
Clinical Features
- Erythema, warmth, and edema
- Range of motion of digits, hand, and wrist should not be painful
- Pain predicts extensive involvement and the need for inpatient management
DDX
Hand and finger infections
- Bed bugs
- Closed fist infection (Fight Bite)
- Hand cellulitis
- Hand deep space infection
- Hand-foot-and-mouth disease
- Herpetic whitlow
- Felon
- Flexor tenosynovitis
- Paronychia
- Scabies
- Sporotrichosis
Look-Alikes
Treatment
- Mild/moderate cellulitis
- TMP-SMX DS 1-2 tab PO x 7-10d + (cephalexin 500mg PO QID x7-10d OR dicloxacillin 500mg PO QID x 7–10d)
- Severe cellulitis
- Vancomycin 1gm IV q12hr
Disposition
- Consider admission for:
- Immunocompromised
- Clinical toxicity
- Evidence of deep-space involvement
- Rapidly spreading infections
See Also
Source
Tintinalli