II. Pathophysiology

  1. Pseudomonas pyocyanea or pseudomonas aeruginosa infection
  2. Infection occurs after local Trauma lifts the nail from the nail bed

III. Risk Factors

  1. Workers in warm, moist environments (e.g. dishwashers, barbers)

IV. Management

  1. Best treatment protocol is unclear
  2. Topical Gentamicin
  3. Oral Ciprofloxacin
  4. Finger soaks in dilute white vinegar (1:1 vinegar to water)

V. References

  1. Jhun, Raam and DeClerck in Herbert (2015) EM:Rap 15(12): 3-4
  2. Fawcett (2004) Am Fam Physician 69(6):1417-24 [PubMed]

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Ontology: green discoloration of nail (C2237327)

Concepts Finding (T033)
English the nails were green, green discoloration of nail, green discoloration of nail (physical finding)