Subungual hematoma
Revisión del 08:34 19 dic 2011 de Rossdonaldson1 (discusión | contribs.)
Background
A painful condition that results from a collection of blood under the fingernail
Diagnosis
- Clinical
- Blunt trauma to nailbed
- Blood under nail
Work-Up
None (may consider x-rays if possibility of underlying phalange fracture)
DDx
Tuft's Fracture
Treatment
- Trephination (use handheld cautery)
- 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