[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-533640-105":59,"doc-detail-533640-en":130},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":123,"head_meta":125,"extra_data":127,"updated_unix":129},105,"en","acute-paronychia-with-abscess-incision-and-drainage","Acute Paronychia with Abscess - Incision and Drainage","","A 48-year-old man develops worsening left index finger pain after a motor vehicle collision with minor finger trauma. He reports subjective fevers and chills, and the nail fold area shows tense, exquisitely tender swelling with cloudy (purulent) drainage that suggests an abscess. The condition is acute paronychia complicated by abscess formation that may track to the pulp space (felon). Management requires incision and drainage to prevent expansion and complications, followed by appropriate oral antibiotics when indicated.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/acute-paronychia-with-abscess-incision-and-drainage/533640/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/acute-paronychia-with-abscess-incision-and-drainage/533640.png","ImageObject",300,407,{"name":92,"@type":93},"acoobca","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-29","2026-10-10",true,{"@type":102,"interactionType":103,"userInteractionCount":34},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What clinical findings indicate an abscess in acute paronychia?","Question",{"text":112,"@type":113},"Tense, exquisitely tender swelling with cloudy (purulent) drainage and pressure-induced discharge strongly suggest an abscess rather than uncomplicated inflammation.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"Why is incision and drainage necessary when an abscess is present?",{"text":117,"@type":113},"Incision and drainage prevents further expansion and reduces risk of complications such as osteomyelitis and flexor tenosynovitis.",{"name":119,"@type":110,"acceptedAnswer":120},"When are oral antibiotics appropriate after drainage?",{"text":121,"@type":113},"After drainage, oral antibiotics may be used to cover common skin flora, and oral flora if the infection arose from hand-in-mouth behavior such as nail biting.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},533640,1791926553,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":34,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":139,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":145,"preview_page_count":4},3985747870733,"https://ap-avatar.wpscdn.com/davatar_a8503ba1806abce46bf441b54a3ca4cd","1 of 40  \n十  \ntion Id:20758  \nExit Mode  \nPrevious  \nNext  \nTutorial  \nLab Values  \nNotes  \nCalculator  \nReverse Color  \nA48-year-old man comes to the urgent care clinic for evaluation of a painful finger.One week ago,he was involved in a motor vehicle collision inwhich airbags deployed and caught his left index finger.The patient was taken to the emergency department where x-rays of the left handshowed no fractures.He was diagnosed with a finger sprain and advised to take nonsteroidal anti-inflammatory drugs.Today the patient reportsthat his finger pain is not improving and,for the past 24 hours,he has been experiencing subjective fevers and chills.Vital signs are stable.Examination of the left index finger is shown in the exhibit.The digital pulp of the left index finger is tense and exquisitely tender to palpation;pressing on the pulp expresses cloudy fluid from the dorsal surface of the finger,proximal to the nail fold.Which of the following is the best nextstep in management of this patient's condition?  \n○ A.Incision and drainage  \n○ B.Oral acyclovir therapy and follow-up in 48 hours○ C.Oral antibiotic therapy and follow-up in 48 hours○ D.Removal of the fingernailO E.Warm water soaks and follow-up in 48 hours  \nSubmit  \n只  \nAAA  \nText Zoom  \nSettings  \nA48-year-old man comes to the urgent care clinic for evaluation of a painful finger.One week ago,he was involved in a motor vehicle collision inwhich airbags deployed and caught his left index finger.The patient was taken to the emergency department where x-rays of the left handshowed no fractures.He was diagnosed with a finger sprain and advised to take nonsteroidal anti-inflammatory drugs.Today the patient reportsthat his finger pain is not improving and,for the past 24 hours,he has been experiencing subjective fevers and chills.Vital signs are stable.Examination of the left index finger is shown in the exhibit.The digital pulp of the left index finger is tense and exquisitely tender to palpation;pressing on the pulp expresses cloudy fluid from the dorsal surface of the finger,proximal to the nail fold.Which of the following is the best nextstep in management of this patient's condition?  \n○ A.Incision and drainage  \nExhibit Display  \n○ B.Oral acyclovir therapy and follow-up in○ c.Oral antibiotic therapy and follow-up it○ D.Removal of the fingernailO E.Warm water soaks and follow-up in 48  \nSubmit  \nCUWorld  \n三×  \nThis patient with subjective fevers,left index finger pain,and swelling around the nail fold with cloudy (ie,purulent)drainage likely has an acuteparonychia complicated by abscess formation.  \nAcute paronychia is inflammation of the proximal and/or lateral nail fold(s)that is commonly caused by bacterial inoculation into the periungualtissues,often in the setting of minor trauma(eg.airbag deployment,nail biting or manicuring).It typically presents with pain,swelling,anderythema at the nail fold and may be complicated by abscess formation.The abscess often arises in the periungual tissues but sometimestracks to the pulp space,causing a felon (ie,acute pulp space infection).A felon is usually characterized by severe pain and a tensely swollenpulp that is exquisitely tender to palpation.  \nWhenever an abscess is present—whether accompanying an acute paronychia or a felon (or both,as in this patient)—incision and drainage arerequired to prevent further expansion and complications(eg,osteomyelitis,flexor tenosynovitis).Following drainage,oral antibiotic therapy maybe prescribed to cover common skin flora(eg,Staphylococcus aureus,Streptococcus pyogenes)and oral flora(eg,Eikenella corrodens),if theinfection arose from hand-in-mouth behavior(eg,nail biting).  \nIn contrast,acute paronychia without abscess can be treated without incision and drainage,typically with warm soaks and topical antibiotics(Choice E).  \n(Choice B)Oral acyclovir may be used to treat herpetic whitlow,an acute herpes simplex virus infection of the finger.In contrast to this patient,herpetic whitlow","cbCaijzOswPHGF9z","https://ap.wps.com/l/cbCaijzOswPHGF9z","pdf",40131256,139,"English","# Clinical scenario\n## Key examination finding\n# Diagnosis and complications\n## Abscess with possible felon tracking\n# Management principles\n## Incision and drainage\n## When antibiotics are needed\n## Differentiating alternatives","[{\"question\":\"What clinical findings indicate an abscess in acute paronychia?\",\"answer\":\"Tense, exquisitely tender swelling with cloudy (purulent) drainage and pressure-induced discharge strongly suggest an abscess rather than uncomplicated inflammation.\"},{\"question\":\"Why is incision and drainage necessary when an abscess is present?\",\"answer\":\"Incision and drainage prevents further expansion and reduces risk of complications such as osteomyelitis and flexor tenosynovitis.\"},{\"question\":\"When are oral antibiotics appropriate after drainage?\",\"answer\":\"After drainage, oral antibiotics may be used to cover common skin flora, and oral flora if the infection arose from hand-in-mouth behavior such as nail biting.\"}]","Acute Paronychia with Abscess - Incision and Drainage | PDF",1791593511,350]