nail injury Flashcards
What issue/ Tx
(a) Caused by lateral pressure of poorly fitting shoes, by improper or excessive trimming of the lateral nail plate or by trauma.
(b) Pain, redness and swelling cause by the nail penetrating the surrounding nail tissue.
(c) The nail enters the lateral or medial nail fold and enters the dermis, where it acts as a foreign body.
(d) The area of penetration becomes purulent and edematous as granulation tissue grows alongside the penetrating nail.
(e) Great toe is virtually the only toe involved, with either the medial or lateral border of the nail may be affected.
Ingrown Nail
a) Treatment involves removing the penetrated nail with scissors and curetting the granulation tissue.
(b) Small areas of granulation tissue can be simply treated with silver nitrate.
what is the first step in the procedure for toe nail removal
Have patient sign SF522.
Complications Nail injury
(a) Infections
(b) Post-op Bleeding
(c) Tissue destruction
(d) Recurrence
What do you do for Ingrown Nail recurrence?
Refer to Podiatry for possible nail ablation treatment.
-Podiatrists treat chronic recurrent ingrown nails by destroying the lateral nail matrix with phenol.
What issue
(a) Most common of all injuries to the upper extremities; typically results from a direct blow to the fingernail or a squeezing-type injury to the distal finger.
(b) Injury causes bleeding into the space between the nail bed and fingernail itself.
(c) Intense pain caused by pressure generated by the hematoma.
(d) The bleeding may cause separation of the nail (onycholysis).
Subungal Hematoma
Tx
Treatment consists of evacuation of the hematoma via trephination of the nail.
-Drainage should be done promptly. If the hematoma coagulates, the procedure is no longer beneficial nail separation becomes far more likely.
Subungal Hematoma Complications
a) Infection
(b) Pain
(c) Nail bed laceration
(d) Occult Injuries
