Nail Bed Inflammation (Paronychia): Examination

A comprehensive clinical examination is the basis for selecting further diagnostic steps:

  • General physical examination – including blood pressure, pulse, body weight, height; furthermore:
    • Inspection (viewing) of the nails [redness, swelling, collection of pus under the nail, deformation of the nail, or even rejection (both rare)]
  • Dermatological examination [due topossible secondary diseases:
    • Hollow hand phlegmon (diffuse inflammation of the connective tissue of the hand in the area of the palmar aponeurosis (tendon plate)).
    • Panaritium articulare (inflammation spreading to the joint on the finger / toe).
    • Panaritium cutaneum (inflammation of the finger / toe limited to the superficial layer of skin).
    • Panaritium ossale (inflammation of the finger / toe spreading to the bone).
    • Panaritium parunguale (inflammation of the finger / toe originating from the nail fold).
    • Panaritium periostale (inflammation of the finger / toe spreading to the periosteum).
    • Panaritium subcutaneum (into the connective tissue encroaching inflammation of the finger / toe).
    • Panaritium subunguale (inflammation of the finger / toe located under the nail).
    • Panaritium tendinosum (tendon sheath phlegmon).
    • Discoloration of the fingernail after bacterial infection]
  • Health check

Square brackets [ ] indicate possible pathological (pathological) physical findings.