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#paronychia
snarp · 9 months
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Gotta go back to coating myself with Hibiclens and antifungal stuff every fucking day apparently
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ajokeformur-ray · 1 year
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My poor littlest toe is still really sick so I am voluntarily debasing myself and wearing crocs to training at my job tomorrow because walking is okay but socks and shoes are still causing pain.
I am wearing crocs. To work. I already asked my work senior out of courtesy and she said it was okay, but good lord, the things this job makes me do...
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mcatmemoranda · 1 year
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I saw an 11-day old baby with paronychia.
Paronychia — Acute paronychia is a painful bacterial infection of the periungual tissues caused by S. aureus and group A Streptococcus [77]. The inciting event is a mechanical lesion of the periungual skin, usually caused by trauma. Paronychia is also a frequent adverse event in children treated with BRAF and MEK inhibitor anticancer agents [78]:
●Clinical features and diagnosis – Acute paronychia presents with pain, swelling, and erythema of the nail folds. Formation of pus along the paronychial fold can occasionally result in the formation of an abscess involving the hyponychium and the area below the nail plate (picture 21). Due to the fragility of the nail matrix in children, even a mild, acute paronychia may induce a permanent nail dystrophy. The diagnosis of paronychia is made clinically.
●Treatment and prognosis – Systemic antibiotics are the first-line therapy for acute paronychia without abscess in children. Empirical treatment is started with beta-lactamase-resistant antibiotics (eg, flucloxacillin, dicloxacillin, cloxacillin). Drainage is indicated if there is abscess.
Treatment — The treatment of acute paronychia includes local skin-care measures, topical or oral antibiotics, and surgical modalities, depending upon the severity of inflammation and presence or absence of abscess or associated ingrown toenail. There are no high-quality studies evaluating the use of oral versus topical antibiotics for uncomplicated paronychia or the use of oral antibiotics in addition to surgical incision and drainage for acute paronychia with abscess [28]. The approach to treatment is thus based upon clinical experience and limited evidence from observational studies (algorithm 1).
Paronychia without abscess — In patients with inflammation without abscess formation, treatment with topical antibiotics and warm water or antiseptic soaks (eg, chlorhexidine, povidone-iodine) multiple times per day is usually effective (algorithm 1) [29]. We typically instruct the patient to apply an antistaphylococcal antibiotic (eg, triple antibiotic ointment or mupirocin) after each warm soak. Warm soaks should last 10 to 15 minutes.
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yellowballoonx · 1 year
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rahul-dalal · 9 months
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Best hand trauma surgeon in Pune- Dr Rahul Dalal
Dealing with painful and swollen nails? It might be paronychia, a common nail infection. Dr. Rahul Dalal will provide the expert care you need.
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amenity-outlet · 1 year
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Fingernail Fungus Removal Light Therapy Treatment LLLT Nail Fungus Laser Device anti Infection Paronychia Foot Care Tools
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o5qih2lhe · 1 year
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drpujasharma-blog · 1 year
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#drpujasharma #dermatologist & #cosmetologist #skin #hair #nail #laser #treatment #fungal #tinea #nailinfection #paronychia #onychomycosis #personalhygiene #Dryness #steroid #tthospital #talwandi #kota #hadoti #rajasthan 9636314061 (at TT Hospital Multispeciality Orthopaedic Trauma Dermatology Skin Surgery) https://www.instagram.com/p/ClxAQt5yPgsF701h9xmtiflbuaVAkVc1zoxQdo0/?igshid=NGJjMDIxMWI=
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med-school-studies · 2 years
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Paronychia
--infection of periungual tissues (around the nail)
--Acute: usually caused by staph aureus, enters via hangnail, usually self-limiting, sometime pseudomonas (green + stinky)
--Chronic: hands exposed to water on a constant basis (most common), usually candida yeast (onychomycosis)
--Rarely extends into the joint or under the nail
--Likely causes nail to fall off ONYCOLYSIS
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henryskat2014 · 2 years
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Sorry for my absence! I have been battling some shiznit which has taken up far more of my time and energy than I was willing to give it. Some of you may be aware that I suffer with multiple auto-immune disorders and two of them are quite closely related; #sjogrenssyndrome and #raynaudssyndrome You may remember that last year I lost my fingernail to a rather aggressive hangnail (#Paronychia) well recently I have been battling multiple digital ulcers on 3 of my fingers at a time alongside an increase in severity of my Raynaud’s attacks. My fingers are constantly cold, often turning white then blue and coupled with intense pain, burning and loss of dexterity. These attacks render my hands practically useless. You completely take for granted how debilitating the loss of use of fingers can be to complete every day tasks like dressing, working, cooking, opening things, lifting things, just generally ALL the things!! So yesterday I was seen by a #Rheumatologist who has prescribed me with a new drug call Sildenafil which is hopefully going to make a vast improvement to my symptoms 🤞🏾 You can imagine my shock and horror when I open the packet and read the leaflet to find out that this medication is mainly used to treat male erectile dysfunction! 🙈🙄 it better work - cos dealing with this pain is not really an option. Wish me luck 🤣 #livingwithraynauds #raynaudsdisease #raynaudsphenomenon #bluefingers #autoimmunedisorder #autoimmunewarrior #lifestory #update #MIA https://www.instagram.com/p/CeDbJ-yObKl/?igshid=NGJjMDIxMWI=
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snarp · 2 years
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I'm sorry for lying about about my paronychia status for notes on this blog. It was actually a fungal infection, not bacterial. I used some clotrimazole cream and it cleared up.
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ajokeformur-ray · 1 year
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Has anyone had paronychia before? I’m worried I’m gonna lose my toe. Like, genuinely worried. I’ve been on antibiotics for two days and it’s not improving, it’s getting worse and I’m scared.
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mcatmemoranda · 2 years
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Bottom Line: Beau lines are caused by temporary arrest of the nail matrix and appear as transverse grooves that move distally with nail growth. They are benign lesions that may be caused by local trauma, cutaneous or systemic infections, or drugs.
COMBANK Insight: As COMLEX is geared towards primary care, it is important to be familiar with common benign conditions, whether they be nail findings, skin findings, or other common complaints. Having a basic grasp of these topics, such as Beau lines, may seem unimportant when compared with hypertension or diabetes, but when a patient comes with concerns about their nail changes and is worried about malignancy, recognizing Beau lines may save you and the patient a considerable amount of anxiety and frustration.
Paronychia is inflammation in the lateral and proximal folds of the nail beds on the fingers and toes and is typically caused by bacterial microbes after trauma. It may present with an abscess or localized cellulitis, depending on the type of infection. Paronychia may be acute or chronic; acute paronychia may present with or without an abscess.
Occasionally, paronychia may be sterile and secondary to drugs, such as epidermal growth factor receptor inhibitors, chemotherapeutic agents, systemic retinoids, and antiretroviral agents. Chronic paronychia may be due to squamous cell carcinoma and should be investigated further. Regardless of the initial cause (if not infectious, such as malignancy or drug-induced), secondary infection can still develop.
The presence or lack of abscess ultimately determines the direction of management. Patients with paronychia and associated abscess initially require I&D. After drainage, a culture of the pus should be collected. If the infection resolves, no further management is needed. If the infection persists or worsens, oral antibiotic therapy should be used to target the sensitivities of the culture results. In contrast, if no abscess is present, only conservative management is indicated, which involves topical antibiotics and antiseptic soaks. If there is no improvement after 1 week, oral antibiotics can be prescribed with coverage for methicillin-resistant Staphylococcus aureus being appropriate if the patient has a prior history of or risk factors for resistant staphylococcal infections. Once the condition is resolved, education is important for prevention, and patients should be cautioned to avoid picking at hangnails, biting fingernails, and having aggressive manicuring.
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yellowballoonx · 1 year
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headspace-hotel · 2 months
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super rare plants that ONLY grow in Appalachian region
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Gentiana decora
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Castilleja kraliana
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Scutellaria montana
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Clinopodium talladeganum
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Blephilia subnuda
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Phacelia fimbriata
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Sarracenia jonesii
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Euphorbia purpurea
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Draba ramossisima
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Paronychia argyrocoma
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Trillium tennesseense
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Marshallia mohrii
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Convolvulus sericatus
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Corallorhiza bentleyi
...and many more!...
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i-eat-vinilinum · 2 years
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I can't talk I'm doing hot girl shit (thinking about the lack of asexual representation in tv and also cutting my nails beacause I'm going to kill myself if I get paronychia on my toes one more time)
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