Turner White CommunicationsAbout TWCSubscribeContact TWCHomeSearch
Hospital PhysicianJCOMSMPBRMsCart
Current Contents
Past Issue Archives
Interactive:
Self-Assessment Questions
Review of
Clinical Signs
Clinical Review
Quiz
Pediatric Rounds
Resident Grand Rounds
Article Archives
Case Reports
Clinical Practice
Exams
Pediatric Rounds
Resident Grand Rounds
Review of
Clinical Signs

Guide to Reading
Hospital Physician
Editorial Board
Information for Authors

Reprints, Permissions, & Copyright
Site Map
Self-Assessment Questions

Orthopaedic Surgery


Answer 4
  1. Bacterial paronychia. The location (perionychium) and rapid onset (4 days) of this patientıs infection is consistent with an acute paronychia. Generally, bacterial infections are more acute, and fungal infections are chronic. Thumb-sucking is a common cause for such infections. This presentation is unlikely to be a felon because felons cause severe pain and develop in the pads of the fingers and near the distal interphalangeal joints. Herpetic whitlow, caused by a herpes simplex virus, causes pain and swelling and leaves small clear vesicles or cysts. A tumor is unlikely because of the location of infection and age of the child.5

    REFERENCES
    5.
     Jebson PJ. Infections of the fingertip. Paronychias and felons. Hand Clin 1998;14:547-55.

Click here to return to the questions

 

Hospital Physician     JCOM     Seminars in Medical Practice
Hospital Physician Board Review Manuals
About TWC    Subscribe    Contact TWC    Home    Search   Site Map

Copyright © 2009, Turner White Communications
Updated 1/04/08 • kkj