Felon - Revision history

Masoodrm: /* Incision and drainage */

2021-05-01T18:58:29Z

Incision and drainage

← Older revision		Revision as of 18:58, 1 May 2021
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	*Perform digital block		*Perform digital block
	*The incision should be made along the''' ulnar aspect of the index, middle, and ring fingers''' and along the '''radial aspects of the thumb and little finger'''.		*The incision should be made along the''' ulnar aspect of the index, middle, and ring fingers''' and along the '''radial aspects of the thumb and little finger'''.
	*Number 11 blade is used to make incision on ~~nonoppositional~~ side of affected digit. Digital arteries and nerves arborize near the distal interphalengeal joint, minimizing risk of significant neurovascular damage.		*Number 11 blade is used to make incision on non-oppositional side of affected digit. Digital arteries and nerves arborize near the distal interphalengeal joint, minimizing risk of significant neurovascular damage.
	*Start incision 5 mm distal to flexor DIP crease		*Start incision 5 mm distal to flexor DIP crease
	*End incision ~~5mm~~ proximal to nail plate border		*End incision 5 mm proximal to nail plate border
	*Bluntly dissect and explore wound until [[abscess]] is decompressed		*Bluntly dissect and explore wound until [[abscess]] is decompressed
	''no need for packing''		''No need for packing''

	*DO NOT perform a "fishmouth" incision since this may ~~results~~ in: Unstable finger pad, neuroma, and/or loss of sensation		*DO NOT perform a "fishmouth" incision since this may result in: Unstable finger pad, neuroma, and/or loss of sensation

	===[[Antibiotics]]===		===[[Antibiotics]]===

Rossdonaldson1: /* Background */

2020-04-29T20:25:54Z

Background

← Older revision		Revision as of 20:25, 29 April 2020
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	*Infection typically begins with minor trauma to dermis overlying finger pad (e.g. foreign body such as a splinter)		*Infection typically begins with minor trauma to dermis overlying finger pad (e.g. foreign body such as a splinter)
	**May spread to flexor tendon sheath, IP joint, or underlying periosteum		**May spread to flexor tendon sheath, IP joint, or underlying periosteum

			{{Fingertip anatomy}}

	[[File:Felon 2.jpg\|thumbnail\|Felon]]		[[File:Felon 2.jpg\|thumbnail\|Felon]]

Lyssa1219: /* Incision and drainage */

2020-04-17T16:06:28Z

Incision and drainage

← Older revision		Revision as of 16:06, 17 April 2020
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	===Incision and drainage===		===Incision and drainage===
	[[File:Felon.jpg\|thumb\|Incision of felon.]]		[[File:Felon.jpg\|thumb\|Incision of felon.]]
			*Perform digital block
	*The incision should be made along the''' ulnar aspect of the index, middle, and ring fingers''' and along the '''radial aspects of the thumb and little finger'''.		*The incision should be made along the''' ulnar aspect of the index, middle, and ring fingers''' and along the '''radial aspects of the thumb and little finger'''.
	*Number 11 blade is used to make incision on nonoppositional side of affected digit. Digital arteries and nerves arborize near the distal interphalengeal joint, minimizing risk of significant neurovascular damage.		*Number 11 blade is used to make incision on nonoppositional side of affected digit. Digital arteries and nerves arborize near the distal interphalengeal joint, minimizing risk of significant neurovascular damage.

Lyssa1219: /* Clinical Features */

2020-04-17T16:04:55Z

Clinical Features

← Older revision		Revision as of 16:04, 17 April 2020
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	==Clinical Features==		==Clinical Features==
	*Red, tense, and markedly painful distal pulp space		*Red, tense, and markedly painful distal pulp space
			**May see necrotic appearing tissue distally due to increased pressure in space

	==Differential Diagnosis==		==Differential Diagnosis==

Rossdonaldson1: /* Differential Diagnosis */

2020-01-28T21:33:14Z

Differential Diagnosis

← Older revision		Revision as of 21:33, 28 January 2020
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	==Differential Diagnosis==		==Differential Diagnosis==
	{{~~Template:~~Hand Infection DDX}}		{{Hand Infection DDX}}

	==Evaluation==		==Evaluation==

SuperD: /* Workup */

2020-01-11T20:40:59Z

Workup

← Older revision		Revision as of 20:40, 11 January 2020
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	===Workup===		===Workup===
	*X-ray to assess for foreign body		*X-ray to assess for foreign body
	*[[Ultrasound]] can be utilized by placing the hand in a ~~bowel~~ of water and holding high frequency linear probe a few cm away from the finger (water is an excellent conductor)		*[[Ultrasound]] can be utilized by placing the hand in a bowl of water and holding high frequency linear probe a few cm away from the finger (water is an excellent conductor)
	*Gram stain and culture (chronic infections may be caused by atypical organisms)		*Gram stain and culture (chronic infections may be caused by atypical organisms)

ClaireLewis: /* Workup */

2019-09-27T22:31:52Z

Workup

← Older revision		Revision as of 22:31, 27 September 2019
Line 16:		Line 16:
	===Workup===		===Workup===
	*X-ray to assess for foreign body		*X-ray to assess for foreign body
	*[[US]] can be utilized by placing the hand in a bowel of water and holding high frequency linear probe a few cm away from the finger (water is an excellent conductor)		*[[Ultrasound]] can be utilized by placing the hand in a bowel of water and holding high frequency linear probe a few cm away from the finger (water is an excellent conductor)
	*Gram stain and culture (chronic infections may be caused by atypical organisms)		*Gram stain and culture (chronic infections may be caused by atypical organisms)

ClaireLewis: /* Workup */

2019-09-27T22:31:41Z

Workup

← Older revision		Revision as of 22:31, 27 September 2019
Line 16:		Line 16:
	===Workup===		===Workup===
	*X-ray to assess for foreign body		*X-ray to assess for foreign body
	*US can be utilized by placing the hand in a bowel of water and holding high frequency linear probe a few cm away from the finger (water is an excellent conductor)		*[[US]] can be utilized by placing the hand in a bowel of water and holding high frequency linear probe a few cm away from the finger (water is an excellent conductor)
	*Gram stain and culture (chronic infections may be caused by atypical organisms)		*Gram stain and culture (chronic infections may be caused by atypical organisms)

Adamhaag: /* Incision and drainage */

2017-08-20T17:53:13Z

Incision and drainage

← Older revision		Revision as of 17:53, 20 August 2017
Line 26:		Line 26:
	[[File:Felon.jpg\|thumb\|Incision of felon.]]		[[File:Felon.jpg\|thumb\|Incision of felon.]]
	*The incision should be made along the''' ulnar aspect of the index, middle, and ring fingers''' and along the '''radial aspects of the thumb and little finger'''.		*The incision should be made along the''' ulnar aspect of the index, middle, and ring fingers''' and along the '''radial aspects of the thumb and little finger'''.
	*Number 11 blade is used to make incision on nonoppositional side of affected digit		*Number 11 blade is used to make incision on nonoppositional side of affected digit. Digital arteries and nerves arborize near the distal interphalengeal joint, minimizing risk of significant neurovascular damage.
	*Start incision 5 mm distal to flexor DIP crease		*Start incision 5 mm distal to flexor DIP crease
	*End incision 5mm proximal to nail plate border		*End incision 5mm proximal to nail plate border

Ostermayer: Text replacement - "abscess " to "abscess "

2017-03-10T10:05:15Z

Text replacement - "abscess " to "abscess "

← Older revision		Revision as of 10:05, 10 March 2017
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	*Start incision 5 mm distal to flexor DIP crease		*Start incision 5 mm distal to flexor DIP crease
	*End incision 5mm proximal to nail plate border		*End incision 5mm proximal to nail plate border
	*Bluntly dissect and explore wound until abscess is decompressed		*Bluntly dissect and explore wound until [[abscess]] is decompressed
	''no need for packing''		''no need for packing''