Subungual hematoma: Difference between revisions
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==Background== | ==Background== | ||
*Consider intervention for hematoma >50% of nail bed | *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== | ==Management== | ||
===Simple=== | |||
#Trephination | #Trephination | ||
##Handheld cautery works best | ##Handheld cautery works best | ||
#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== | |||
#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