Subungual hematoma: Difference between revisions

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==Background==
==Background==
 
A painful condition that results from a collection of blood under the fingernail
 
A subungual hematoma is a painful condition that results from a collection of blood under the fingernail
 


==Diagnosis==
==Diagnosis==
#Clinical
##Blunt trauma to nailbed
##Blood under nail


==Work-Up==
None (may consider x-rays if possibility of underlying phalange fracture)


Clinical ==Work-Up==
==DDx==
 
Tuft's Fracture
 
None (may consider x-rays if possibility of underlying phalange fracture) ==DDx==
 
 
Insert ==Treatment==
 
 
Simple nail trephination(Nail removal reserved for those with associated with disruption of the nail or surrounding nail folds) ==Disposition==


==Treatment==
#Trephination (use handheld cautery)
##Nail removal reserved for those with associated with disruption of the nail or surrounding nail folds


==Disposition==
Home
Home


==See Also==
==See Also==
Insert
Insert


==Source==
==Source==
 
*Adapted from KajiQuestions
 
*Singer AJ. Current Management of Acute Cutaneous Wounds. N Engl J Med 2008; 359:1037-1046
Adapted from KajiQuestions
 
Singer AJ. Current Management of Acute Cutaneous Wounds. N Engl J Med 2008; 359:1037-1046
 
 
 


[[Category:Ortho]]
[[Category:Ortho]]
[[Category:Trauma]]

Revision as of 08:34, 19 December 2011

Background

A painful condition that results from a collection of blood under the fingernail

Diagnosis

  1. Clinical
    1. Blunt trauma to nailbed
    2. Blood under nail

Work-Up

None (may consider x-rays if possibility of underlying phalange fracture)

DDx

Tuft's Fracture

Treatment

  1. Trephination (use handheld cautery)
    1. Nail removal reserved for those with associated with disruption of the nail or surrounding nail folds

Disposition

Home

See Also

Insert

Source

  • Adapted from KajiQuestions
  • Singer AJ. Current Management of Acute Cutaneous Wounds. N Engl J Med 2008; 359:1037-1046