CanadiEM - By Levi Johnston - October 6, 2020
- What is the medical name for this injury?
- What are the clinically relevant features of nail anatomy?
- What other injuries are important to rule out that are commonly associated with this injury?
- Does this patient need an X-ray of the affected digit?
- Some subungual hematomas will require a procedure called nail trephination. What is nail trephination? Describe the indications, contraindications, potential complications, and procedure.
- Does the fingernail need to be removed to rule-out a nail bed laceration?
- If the patient has an associated distal phalanx fracture, what is the management?
- What would your discharge instructions be?