Orthopedics Book

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Hand Infection

Aka: Hand Infection
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  1. See also
    1. Hand Dermatitis
  2. Types
    1. Cellulitis
    2. Nodular Lymphangitis
    3. Open Fracture (e.g. fifth Metacarpal Fracture)
    4. Suppurative Tenosynovitis
    5. Human Bite (due to clenched fist injury)
    6. Finger tip
      1. Acute Paronychia
      2. Chronic Paronychia
      3. Felon
      4. Herpetic Whitlow
  3. Management
    1. Treat for specific causes above
    2. See Cellulitis for general measures
    3. Open Fracture
      1. Emergent orthopedic consultation
      2. Antibiotic coverage
        1. Start with first generation Cephalosporin
        2. Add Aminoglycoside for contaminated wounds
        3. Add high dose Penicillin if Clostridium suspected

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