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=== Paronychia === ** Infection along paronychium - lateral folds of the fingernail *** If both paronychium and eponychium are involved, called 'runaround infection' ** Purulence dorsal to nail plate indicates involvement of nail matrix ** If no purulence: PO Abx, warm soapy soaks, and splint immobilisation ** If abscess: *** Ring block *** Use needle to get beneath the nailfold and lift the nailfold off nail plate *** Puncture abscess *** Part of nail may need to be removed if abscess is under nail or ingrown nail is causative factor *** Pack wound with betadine soaked ribbon gauze/kaltestat *** Twice daily soaks and packing with PO Abx
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