CHAPTER 138 Fingernail or Toenail Avulsion Presentation These injuries may result from a variety of causes: The patient may have had a blow to the nail, such as its being…

CHAPTER 180 Tick Bite, Tick Removal Presentation The patient arrives with a tick attached to the skin (Figure 180-1), often the scalp. He is often frightened or disgusted and concerned…

CHAPTER 149 Paronychia Presentation The patient presents with finger or toe pain that has developed rapidly, either over the past several hours or over a few days. This pain is…

CHAPTER 139 Fingertip Avulsion, Superficial Presentation The mechanisms of injury can be diverse: a knife, a meat slicer, a closing door, broken glass, spinning fan blades, or turning gears. Depending…

CHAPTER 151 Puncture Wounds Presentation Most commonly, the patient will have stepped or jumped onto a nail. There may be pain and swelling, but often the patient is only asking…

CHAPTER 153 Sliver, Superficial (Splinter) Presentation The patient has caught himself on a sharp splinter (usually wooden) and either cannot grasp it, has broken it trying to remove it, or…

CHAPTER 72 Foreign Body, Swallowed Presentation Parents bring in a young child (usually between the ages of 6 months and 6 years) shortly after the child has swallowed a coin,…

CHAPTER 146 Nail Bed Laceration Presentation The patient has either cut into his nail with a sharp edge or crushed his finger (commonly in a door). With shearing forces, the…

CHAPTER 162 Arthropod Bites (Bug Bites, Insect Bites) Presentation Patients with bug or insect bites seek medical help, because they are miserable with itching or secondary infection, or they are…

CHAPTER 183 Urticaria, Acute (Hives) Presentation The patient is generally very uncomfortable with intense itching. There may be a history of similar episodes and perhaps a known precipitating agent (bee…