RT Book, Section
A1 Mayeaux, Jr., E.J.
A2 Usatine, Richard P.
A2 Smith, Mindy A.
A2 Mayeaux, Jr., E.J.
A2 Chumley, Heidi S.
SR Print(0)
ID 1164348401
T1 Paronychia
T2 The Color Atlas and Synopsis of Family Medicine, 3e
YR 2019
FD 2019
PB McGraw-Hill Education
PP New York, NY
SN 9781259862045
LK dermatology.mhmedical.com/content.aspx?aid=1164348401
RD 2024/04/16
AB A  41-year-old  woman  presented  with  a  3-day  history  of  localized  pain,  redness,  and  tenderness  of  the  lateral  nail  fold  of  the  index  finger.  A  small  abscess  had  developed  in  the  last  24  hours  at  the  nail  margin  (Figure  202-1).  After  informed  consent  was  given,  a  digital  block  was  performed.  This  acute  paronychia  was  treated  with  incision  and  drainage  using  a  #11  scalpel  (Figure  202-2).  A  significant  amount  of  pus  was  drained.  She  soaked  her  finger  four  times  daily  as  directed.  Two  days  later  the  patient's  finger  was  much  better,  and  the  culture  grew  out  Staphylococcus  aureus.  Draining  the  abscess  was  sufficient  treatment.