Paronychia

Revision as of 18:59, 26 February 2012 by Jswartz (talk | contribs) (→‎Management)

Background

  • Infection of lateral nail fold or perionychium
  • Usually caused by minor trauma (e.g. nail-biting, manicures, hangnails)

Treatment

  • If no fluctuance is identified:
    • Warm soaks, elevation
    • TMP/SMX DS 1-2 tab PO x 7-10d + (cephalexin 500mg PO QID x7-10d OR dicloxacillin 500mg PO QID x 7–10d)
  • If unclear if wound is fluctuant:
    • Have pt apply pressure to distal aspect of affected digit
    • A larger than expected area of blanching, reflecting a collection of pus, may identify need for drainage
  • If fluctuance or pus is identified:
    • Incise area of greatest fluctuance w/ #11 blade

Disposition

  • Wound check in 24-48hr

See Also

Hand Infection

Source

Tintinelli

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