TY  - CHAP
M1  - Book, Section
TI  - Chapter 196. Subungual Hematoma
A1  - Usatine, Richard P.
A1  - Smith, Mindy A.
A1  - Chumley, Heidi S.
A1  - Mayeaux, E.J.
PY  - 2013
T2  - The Color Atlas of Family Medicine, 2e
AB  - A  22-year-old  woman  dropped  an  iron  on  her  toe  the  day  before  she  visited  our  free  clinic.  Her  toe  was  painful  at  rest  and  worse  when  walking  (Figure  196-1).  This  subungual  hematoma  needed  to  be  drained  and  we  did  not  have  an  electrocautery  unit.  A  paperclip  was  bent  open  and  held  in  a  hemostat  and  heated  with  a  torch.  With  some  pressure  it  pierced  the  patient's  nail  plate  and  the  blood  spontaneously  drained  (Figures  196-2  and  196-3).  This  relieved  the  pressure  and  gave  the  patient  immediate  pain  relief.  The  remaining  old  blood  was  drained  with  a  little  pressure  on  the  proximal  nail  fold  (Figure  196-4).  Although  we  were  concerned  about  a  possible  underlying  fracture,  the  patient  did  not  have  health  insurance  and  chose  to  postpone  an  x-ray.  Her  toe  healed  well  and  no  radiographs  were  ever  taken.  (Story  by  Richard  P.  Usatine,  MD.)  
SN  - 
PB  - The McGraw-Hill Companies
CY  - New York, NY
Y2  - 2024/04/19
UR  - accessmedicine.mhmedical.com/content.aspx?aid=57683608
ER  -