Hand cellulitis: Difference between revisions
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**Pain predicts extensive involvement and the need for inpatient management | **Pain predicts extensive involvement and the need for inpatient management | ||
== | ==Differential Diagnosis== | ||
{{Template:Hand Infection DDX}} | {{Template:Hand Infection DDX}} | ||
==Diagnosis== | |||
*Usually clinical | |||
==Treatment== | ==Treatment== | ||
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*[[Cellulitis]] | *[[Cellulitis]] | ||
== | ==References== | ||
[[Category:ID]] | [[Category:ID]] | ||
[[Category:Ortho]] | [[Category:Ortho]] | ||
Revision as of 07:51, 19 August 2015
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
Differential Diagnosis
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
Diagnosis
- Usually clinical
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