Nail Removal

Question 1

what do you do for subungual hematoma?

Answer 1

18g needle, slow, constant pressure

don’t need digital block

Question 2

how much hematoma causes pain below the nail?

Answer 2

25% of blood over nail bed

Question 3

what should you always evaluate with subungual hematoma?

Answer 3

fracture (xray)

Question 4

what is the best technique for removing a subungual splinter?

Answer 4

use scalpel to scrape the nail off superficial to the splinter until the splinter is exposed
use forceps, 18g needle or mosquito clamps to extract the splinter

Question 5

what kind of anesthesia will you use to remove a nail splinter?

Answer 5

none