Subungual hematoma is typically managed with supportive care because it is self-limiting. Which of the following describes this management?

Subungual hematoma is typically managed with supportive care because it is self-limiting. Which of the following describes this management?

• A. Immediate surgical drainage.
• B. Subungual hematoma is best managed with pain relief, hydration, and prevention of transmission.
• C. Antibiotics to prevent infection.
• D. Mandatory hospital admission.

Answer: (B)

Subungual hematoma under the nail is usually self-limiting, so the goal is to reduce pain and protect the area while the nail grows out and the blood reabsorbs. The best description of typical management is providing pain relief, staying hydrated, and preventing infection. Give simple analgesia such as acetaminophen or an NSAID, use cold or ice packs early to lessen pain and swelling, and keep the finger clean and protected to prevent infection. Antibiotics aren’t routinely needed unless there is an actual infection or an open wound, and hospital admission isn’t required since this can be treated on an outpatient basis. Drainage or surgical intervention is reserved for cases with severe, ongoing pain or pressure, or if a large hematoma threatens the nail matrix.

Subungual hematoma under the nail is usually self-limiting, so the goal is to reduce pain and protect the area while the nail grows out and the blood reabsorbs. The best description of typical management is providing pain relief, staying hydrated, and preventing infection. Give simple analgesia such as acetaminophen or an NSAID, use cold or ice packs early to lessen pain and swelling, and keep the finger clean and protected to prevent infection. Antibiotics aren’t routinely needed unless there is an actual infection or an open wound, and hospital admission isn’t required since this can be treated on an outpatient basis. Drainage or surgical intervention is reserved for cases with severe, ongoing pain or pressure, or if a large hematoma threatens the nail matrix.