Diseases & Conditions
Perry AW, Gottlieb LJ, Zachary LS, Krizek TJ.
2002
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Incision and drainage with unilateral longitudinal approach to avoid damage to neurovascular structures and release the vertical septae.
Hand infections in patients with acquired immunodeficiency syndrome.
A paronychia can progress to a felon if left untreated. 2122072-overview
If possible, it should be made in a dependent area; however, a dependent incision should not be made if a tubercular etiology is suspected.
Usually, an incision will be made on one or both sides of the fingertip. most direct access; indicated for superficial felons, foreign body penetration, or visible drainage ; incisions to avoid . Procedures Skin and Soft Tissue Infections - Incision, Drainage, and Debridement 2002 214222-overview Diseases & Conditions Prompt treatment is required as there is risk of spread to the flexor tendon sheath and even osteomyelitis.
When skin does not yield, Zyluk A, Puchalski P. [Severe infections within the upper extremity--analysis of the causes and methods of treatment]. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvNzgyNTM3LXRyZWF0bWVudA==
719-58.
Felons are closed-space infections of the fingertip pulp.Fingertip pulp is divided into numerous small compartments by vertical septa that stabilize the pad. Some of these incisions offer no benefit but increase the potential for serious injury.The felon should be incised in the area of maximum swelling and tenderness. Bolton H, Fowler PJ, Jepson RP. Skin and Soft Tissue Infections - Incision, Drainage, and Debridement Emergent Management of Necrotizing Soft-Tissue InfectionsRegular Use of Proton Pump Inhibitor and Risk of Rheumatoid Arthritis in WomenCOVID-19 Update: New Symptom, Test to Guide Steroid TreatmentFlashbangs, Tear Gas, and Rubber Bullets: How Extensive Are These Injuries? Clinical Procedures in Emergency Medicine. If you log out, you will be required to enter your username and password the next time you visit.
This may require referral to a surgical unit or emergency department.
Administer antibiotics with activity against methicillin-resistant Staphylococcus.
fish-mouth incision Kilgore ES Jr, Brown LG, Newmeyer WL.
The doctor will then insert an instrument into the wound and break up the compartments to aid in the drainage. A paronychia can progress to a felon if left untreated. Felon: Often incision and drainage is required because the infection develops within the multiple compartments of the fingertip pad.
Apply a loose dressing, splint the finger, and elevate the hand above the heart.High lateral incisions, palmar longitudinal incisions, palmar transverse incisions, and hockey stick and fishmouth incisions have been recommended in the past.
Case report in two adolescent females with IDDM.
Watson PA, Jebson PJ.
Perionychial infections associated with sculptured nails.
Perionychial infections associated with sculptured nails.
Increased US emergency department visits for skin and soft tissue infections, and changes in antibiotic choices, during the emergence of community-associated methicillin-resistant Staphylococcus aureus.
Acute felon as a complication of systemic paclitaxel therapy: case report and review of the literature.
2002
2002
Probing is not carried out proximally to avoid extension of infection into the flexor tendon sheath.A longitudinal incision in the midline is effective without serious iatrogenic complications that are observed with other traditionally recommended incisions.Lateral or transverse incisions frequently cause ischemia and anesthesia by injuring one or both neurovascular bundles.Fish-mouth incision can lead to an unstable painful fingertip.An orthopedist or hand surgeon should be consulted for more complex cases, especially when there is concern for osteomyelitis or flexor tenosynovitis.Because of the potential for complications, prompt follow-up should be arranged in all cases.
Newfield RS, Vargas I, Huma Z. Eikenella corrodens infections.
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