What are the signs to look for in a physical exam for paronychia?

Updated: Oct 09, 2020
  • Author: Elizabeth M Billingsley, MD; Chief Editor: William D James, MD  more...
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Other signs to look for in a physical examination include the following:

  • Look for signs of a herpetic whitlow, such as vesicles on an erythematous base

  • Green coloration of the nail may suggest Pseudomonas species infection

  • Hypertrophy of the nail plate may be a clue to fungal infection

  • Constant severe pain with nail plate elevation, bluish discoloration of the nail plate, and blurring of the lunula suggest the presence of a glomus tumor.

The digital pressure test can be used to detect the presence of an abscess. Pressure is applied to the palmar surface of the distal finger; if an abscess is present, the area of the abscess will blanch with palmar pressure. [33]

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