Paronychia

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1. Treatment

    1. I&D in case of puss formation

    2. warm compress

    3. Cap cefalexin 500 mg qid #30

        1. or syrup cefalexin w/4 qid #1

    4. for chronic forms: usually due to candida

        1. Cream clotrimazole tds for 1-2 months

        2. or cream miconazole tds for 1-2 months

        3. oint hydrocortisone 1% q12h #1

    5. if due to oral contact:

        1. Tab co-amoxiclav 625 q12h #20

2. DDx: Erf’s disease

    1. viral disease

    2. zoonotic

    3. self-limited

    4. if secondary bacterial infection on it ⇒ use cefalexin