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| ==[[Closed Fist Infection (Fight Bite)]]== | | ==[[Closed Fist Infection (Fight Bite)]]== |
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| ==Paronychia== | | ==[[Paronychia]]== |
| ===Background===
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| *Infection of lateral nail fold or perionychium
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| *Usually caused by minor trauma (e.g. nail-biting, manicures, hangnails)
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| ===Management===
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| *If no fluctuance is identified:
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| **Warm soaks, elevation
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| **TMP/SMX DS 1-2 tab PO x 7-10d + (cephalexin 500mg PO QID x7-10d OR dicloxacillin 500mg PO QID x 7–10d)
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| *If unclear if wound is fluctuant:
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| **Have pt apply pressure to distal aspect of affected digit
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| **A larger than expected area of blanching, reflecting a collection of pus, may identify the need for drainage
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| *If fluctuance or pus is identified:
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| .18 After suppuration has occurred, the infection will exhibit either fluctuance or identifiable pus that will necessitate drainage. Minor infections can be treated with elevation of the perionychium or eponychium with a flat probe #11 blade (Figure 280-5) or needle slid along the surface of the nail.19 If only elevating the eponychium from the nail, this procedure can be performed without placing a digital block or providing analgesia.20 In general, only nonviable tissue can be incised without provoking pain.
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| ==Source== | | ==Source== |
