Panaritium subungual
Panaritium subungual is more often due to foreign bodies that fall under the nail, suppuration of subungual hematomas. The diagnosis is simple, based on pain syndrome, tenderness in palpation and a typical accumulation of pus under the fingernail. Treatment is operative, can be performed on an outpatient basis under conductor anesthesia by Obereg-Lukashevich. Usually, there is no need to remove the entire nail plate. Indications for such an intervention is a symptom of a "floating nail plate," that is, an accumulation of pus under the entire plane of the nail with its detachment. More often a partial excision of the nail with the removal of a foreign body.
Panaritium hypodermic is the most common form of purulent finger injury. Typical symptoms are pain, redness of the skin, swelling, infiltration, a sharp increase in pain when flexing the finger. More often the inflammatory process is localized on the nail phalanx. When palpating the probe, tenderness along the tendons or periarticular tissues does not exist. Conservative treatment is possible in the initial stage before purulent tissue melting, lymphangitis, or severe restriction of the function of the finger. A significant increase in pain, especially the first sleepless night due to severe pain syndrome, is an indication for the operation. Conservative treatment: rest in a functional position, elevated limb position, daily control of the spread of hyperemia and edema, therefore it is undesirable to use trays and ointments that can change the skin color. At daily changes of bandages use trays with disinfectants (gibitan hlorgeksidin), then impose a bandage with dioxidinom. Antibiotic therapy can be performed while spreading the infection, but before purulent tissue melting. It is better to use penicillin, cephalosporins. Analgesics are indicated only in exceptional cases. With the progression of the pain syndrome, surgical treatment is indicated. With the localization of the panaritium on the nail phalanx, one can use anesthesia by Oberegu-Lukashevich. On the nail phalanx, the collar-like incision is more often used (with the transition to the lateral surface of the finger). Such interventions can be performed on an outpatient basis. A patient with a panaricium of the main or middle phalanx should be hospitalized. The operation is performed under conductive or intravenous anesthesia with bleeding of the limb (application of the tourniquet to the shoulder). In the course of the surgery, necrotic tissue must be excised. More often, cuts along the lateral surface of the phalanx are closer to the palm without crossing the interphalangeal fold.
After removing the tourniquet, the bleeding stops, for which it is usually sufficient to temporarily press the finger. Apply a bandage with dioxin ointment, levosin, levomycol.
During the operation, sowing pus on the flora and susceptibility to antibiotics are mandatory. Usually after 3-5 days, the pain completely subsides, hyperemia and edema disappear, however, the dressings must be performed daily until the wound is completely healed, since a relapse of the disease is possible.
- Surgical diseases
- Abscess
- Abscess appendicular
- Abscesses of the abdominal cavity
- Abscess of the Douglas space
- Intestinal abscess
- Abscess of the lung
- Soft tissue abscess
- Abscesses of soft tissues after injection
- Abscess of liver
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- Prostate adenoma
- Actinomycosis
- Aneurysm
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- Aneurysm of descending thoracic aorta
- Dissecting Aneurysm
- Aneurysm of the abdominal aorta
- Aneurysm of peripheral vessels
- Arteriovenous aneurysm
- Aneurimas of the heart
- Appendicitis acute
- Perforation of the appendage
- Appendicular infiltration
- Pielephlebitis
- Atheroma
- Bronchoectasis
- Varicose veins
- Varicose veins of the spermatic cord
- Dropsy of testis and spermatic cord
- Rectal prolapse
- Gangrene gas
- Gangrene lung
- Hemorrhoids
- Hydradenite
- Gynecomastia
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- Hernias of the esophagus
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- Herniated hernias
- Herniated hernia
- Hernia of the white line
- Hernia postoperative ventral
- Herniated hernia
- Rare hernias
- Pincushion
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- False infringement of a hernia
- Hernias with inflammation
- Dumping syndrome
- Diverticulum
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- Cervical diverticulum
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- Meckel's diverticulum
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- Cancer of the head of the pancreas
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- Zollinger-Ellison syndrome
- Foreign bodies of bronchi
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- Carbuncle
- Brushes and fistulas of the neck are lateral
- Cysts and fistulas of the neck median
- Colitis ulcerative ulcerative
- Coccygeal epithelial passage
- Cryptorchidism
- Bleeding
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- Varicose veins
- The Mallory-Weiss Syndrome
- Bleeding into the abdominal cavity
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- Parenchymal hemorrhage
- Crohn's disease
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- Putrefactive mastitis
- Acute non-lactational mastitis
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- Megacolon
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- Intestinal obstruction
- Paralytic intestinal obstruction
- Mechanical intestinal obstruction
- X-ray diagnostics
- Specific types of intestinal obstruction
- Ingrown throat
- Frostbite
- Local cooling
- Burn
- Occlusion of the main arteries
- Acute occlusion of the vessels of the extremities
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- Obtiterating atherosclerosis
- Aortic ileal type
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- Occlusion of aortic arch branches
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- Occlusion of the subclavian artery
- Takayasu's syndrome (absence of pulse)
- Chronic occlusion of mesenteric vessels (abdominal toad)
- Stenosis of the renal arteries
- Obliterating thrombangitis
- Raynaud's disease
- Orcoepididymitis
- Acute abdomen
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- Acute cholecystitis
- Panaritium
- Panaritium cutaneous
- Paronichy
- Panaritium tendinous
- Panaritium articular
- Panaritium bone
- Penetrating ulcer of the stomach and duodenum
- Peritonitis
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- Piopevneumotorax
- Pneumothorax spontaneous
- Postcholecystectomy syndrome
- Perforated ulcer
- Covered perforation
- Bedsore
- Prostatitis
- Wounds
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- Stenosis of the outlet stomach
- Fracture of anus
- Urethritis
- Phimosis, paraphimosis
- Phlebothrombosis
- Occlusion of subclavian vein
- Phlegmon
- Furuncle
- Cholangitis
- Electric trauma
- Empyema of the pleura
- Congenital intestinal obstruction
- Atresia of the anus
- Congenital cholangiopathy of newborns
- Pylorostenosis
- Embryonic hernia (hernia of umbilical cord)
- Exstrophy of the bladder
- Dropsy of shells of testis and spermatic cord
- Surgical diseases of the chest
- Congenital diaphragmatic hernia
- Congenital cysts of the lungs
- Pneumothorax
- Tracheophishoprine fistula
- Mastitis of newborns
- Acute hematogenous osteomyelitis
- Peritonitis in newborns
- Acute paraproctitis
- Necrotic phlegmon of newborns
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