Flashcards in Week 9 Deck (12)
In the absence of physical trauma, what appears to be a subungual hematoma might be a ___________ or __________ infection
Proteus or Pseudomonas infection
When draining a subungual hematoma with any method you may have to repeat the procedure several times to provide a hole that is large enough to remain open for continued drainage
What do you advise the patient to do if the drainage hole made in a nail for a subungual hematoma closes up and pressure and pain reoccur?
-You may have to repeat this several times to provide a hole that is large enough to remain open for continued drainage
-If the hole clots shut then soak the digit in cold water; adding peroxide will help dissolve the clot
What are the 5 etiologies of onycholysis?
-Systemic (e.g., thyrotoxicosis)
-Cutaneous diseases (e.g., psoriasis, drug-induced photo-onycholysis)
-Local causes (e.g., trauma, onychomycosis, chemicals)
What are the various causes of onychogryphosis?
-Acute injury – dropping something on toe
-Chronic injury – from ill-fitting shoes
-Poor blood supply
-Inadequate intake of nutrients
What are the four ways to help prevent onychogryphosis?
-Avoid footwear or stockings that gather at the toes.
-Keep nails trimmed.
-Avoid tight fitting foot wear.
-Avoid nail polish.
Tinea unguium (onychomycosis) is usually caused by one dermatophyte , either T. ____ or T. _____
trichophyton mentagrophytes or rubrum
What are thought to be the two likely causes of ganglion cysts?
-degenerative process in the mesoblastic tissues surrounding the joint
-herniation of a tendon sheath
What is the consistency of a ganglion cyst?
-Usually smooth and rounded; at other times multilocular
-Usually hard/firm – often misdiagnosed as a bony or cartilaginous lesion
-May be cystic and definitely fluctuant
There may be an associated weakness of the area involved by the ganglion, such as weakness of the wrist, the finger, or the toe.
What are the three typical indications for treatment of ganglia?
-Relief of the pain/soreness
-Removal of the unsightly mass
-Relief of the feeling of weakness of the part