PC- ODIPARA
Acute? First time? associated symptoms
Pus coming out?
Fever? Shivering?
Arthiritis?
Explore trigger- Taruma? Insect bite? Occupation? Tight fitting shoes?
DDs- Acute gout, Paronychia
ICE, Examine, Diagnosis
Routine Investigation- Uric acid, CRP, FBC
Refer to podiatrist if it needs cutting or no effect of treatment
Symptomatic treatment- Panadol or ibuprofen, If pus antibiotic
Supportive treatment- Avoid tight fitting shoes, Soak foot in warm salty water, Keep foot dry for rest of day
Safety netting- Do not cut the toe nail
Paronychia Vs. Ingrown Toenail: The Key Differences
While paronychia and ingrown toenails share common symptoms like redness and swelling, several distinctions set them apart:
- Location: Paronychia primarily affects the skin surrounding the nail, while ingrown toenails involve the nail growing into the skin at the edges of the toe.
- Causes: Paronychia is often caused by bacterial or fungal infections, while ingrown toenails are generally due to improper nail trimming or tight footwear.
- Symptoms: Paronychia may involve the formation of pus and, in severe cases, abscesses. Ingrown toenails may cause pain and inflammation along the nail edges.
- Treatment: Paronychia typically requires antibiotics for bacterial infections, and antifungal medications for fungal infections. Ingrown toenails often require nail removal or other procedures to prevent further ingrowth.
