parnoychia includes acute parnoychia & chronic panoychia. ACUTE PARONYCHIA (paronychia means “Run around”). It occurs in subcuticular area under the eponychium. Minor injury to finger is the common cause. chronic paronychia occurs due to bacterial supervention

1. en love da Homoeopathy
PARONYCHIA

2. PARONYCHIA

3. ACUTE
PARONYCHIA
ACUTEPARONYCHIA
• (paronychiameans “Run
around”).
• It occurs in subcuticular
area under the
eponychium.
• Minor injuryto finger is
the common cause.

4. • Suppuration occurs very
rapidly.
• It tracks aroundthe skin
marginand spreads under
the nail causing hang nail
or floating nail.
CAUSATIVEORGANISM
• Staphylococcus aureus
• Streptococcus pyogenes.

5. CLINICALFEATURES
• Severe throbbing pain
• tenderness(dependent
throbbing)
• visible pus under the nail
root.
• Nail on touchis very tender
(paronychiameans “Run
around”).

6. TREATMENT
• Pus is sent for culture and
sensitivity.
• Antibiotics like cloxacillin,
amoxicillin.
• Pus is drained by making an
incisionover the eponychium
• Digital blockusing
xylocaine 2%plain
(withoutadrenaline as end
arterysupply to digits can
develop arterospasm) is
givenas anaesthesia

7. • If there is a floating nail,
thenthe nail is dead & it has
to be removed
• Recoveryis fast

8. CHRONIC
PARONYCHIA
FEATURES
• It is common in
females.
• Nail is diseased with
ridges and
pigmentation.
• Itching in the nail bed.
• Recurrent pain,
discharge
• Secondary bacterial
infectionmay
supervene

9. INVESTIGATION:
• Culture of scrapings
for fungus & other
causative agents.

10. TREATMENT:
• Long-termantifungal
therapy—local and
systemic.
• Antibiotics for
secondary infection.
• In severe cases removal
of nail is required

11. REFERENCE
1. SRB's Manual of Surgery
by SriramBhat M
2. A Manual on Clinical
Surgeryby Das
3. A Concise textbookof
Surgeryby Das

12. A
Special Thanks
To A Very
Special Doctor