Fungal nail infection

Question 1

Fungal nail infection - key symptoms (4)

Answer 1

Discolouration on nail
Brittle nail
Thickened nail
Distortion of nail bed

Question 2

Fungal nail infection - extra questions (5)

Answer 2

Do they have athlete’s foot or thrush
Signs of infection
Diabetic or immunocompromised
Do they want treatment (not always required)
Pain and discomfort

Question 3

Fungal nail infection - explanation

Answer 3

Onchomycosis, a fungal nail infection which is very common and doesn’t always require treatment

Question 4

Fungal nail infection - causes (2)

Answer 4

Damp, warm environments
Contamination

Question 5

Fungal nail infection - first-line treatment (product, how it works, how to use it and how long to see effects)

Answer 5

Amorolfine nail lacquer (Curanail), a fungicidal agent that kills the fungus cells. Apply to nail once or twice a week, the solvent evaporates leaving a concentrated film of the drug that penetrates into the nail. Needs to be applied until the nail is grown out (6m for fingers, 12m for toes)
18+

Question 6

Fungal nail infection - lifestyle (11)

Answer 6

Short nails
Wash and dry properly
Cotton socks
Well-fitting shoes
Avoid infected shoes
Switch shoes regularly
Avoid nail polish during treatment
Avoid warm, moist environments
Avoid trauma to nails
Avoid sharing towels or clippers
Wear flip flops in communal areas

Question 7

Fungal nail infection - referral (3)

Answer 7

Diabetic
Immunocompromised
Extensive/severe