[31F] With swollen finger and radiating pain

Patient Description

A 31-year-old female presents with a finger that has swelled to twice its normal size within the past 24 hours, accompanied by a whitish outline around the fingernail. Pain is radiating from the affected finger to the neighboring finger, down the hand, and into the inner arm. The patient has attempted to alleviate the swelling with ice and Tylenol without significant relief. The hand pain is described as sharp when elevated and is throbbing and sore overall, with a severity rated at 7 out of 10. The patient has been experiencing these symptoms for approximately 10 hours. She has a history of migraines since adolescence and is allergic to Ibuprofen, which causes her tongue to swell. She is currently taking multivitamins and no other medications or supplements.

Show More

Arora's Assessment

What might be happening

Based on the information provided, possible diagnoses include:

  • Cellulitis: This is a bacterial skin infection that can cause redness, swelling, and pain. The white outline around your fingernail could be a sign of pus, which is common in infections.

    • Treatment typically involves antibiotics to clear the infection.
  • Paronychia: This is an infection of the skin around the fingernail. It can cause redness, swelling, and pain. The white outline around your fingernail could be pus, which is common in this condition.

    • Treatment usually involves draining the pus and antibiotics if the infection is severe or doesn't improve.
  • Gout or Pseudogout: These are types of arthritis that typically affect one joint at a time and can cause sudden, severe pain, redness, and swelling. However, they usually affect the big toe or knee rather than the finger.

    • Treatment involves medications to control pain and inflammation, and to lower uric acid levels in the case of gout.

What you can do

While waiting for your appointment with a healthcare professional, you can:

  1. Continue to apply ice to the swollen area for 15 minutes at a time, with a cloth between the ice and your skin.
  2. Keep your hand elevated as much as possible to help reduce swelling.
  3. Avoid using your hand too much to prevent further irritation or injury.
  4. Over-the-counter pain relievers (other than Ibuprofen, which you are allergic to) can help with pain and inflammation.

What you should look out for

Please seek immediate medical attention if:

  • The swelling and pain continue to worsen.
  • You develop a fever or chills.
  • The skin over the swollen area changes color or becomes hot to the touch.
  • You notice red streaks spreading from the swollen area.

Please remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.

Show More

1
 Hugs
0
 Comments

Save

11 mo ago

People Also Ask


What are the common symptoms of cellulitis and how is it treated?

Cellulitis is a bacterial skin infection that typically presents with redness, swelling, warmth, and pain in the affected area. It can also cause fever and chills. Treatment usually involves antibiotics to clear the infection, and it's important to seek medical attention promptly.


What is paronychia and how can it be managed?

Paronychia is an infection of the skin around the fingernail, often caused by bacteria or fungi. It can cause redness, swelling, and pain, and sometimes pus formation. Management may include soaking the affected area, draining pus if necessary, and antibiotics for severe cases.


Can gout affect fingers and what are the typical symptoms?

While gout most commonly affects the big toe, it can also affect other joints, including fingers. Symptoms include sudden, severe pain, redness, and swelling. Treatment involves medications to reduce pain and inflammation, and in the case of gout, to lower uric acid levels.


What should I do if I am allergic to common pain relievers like Ibuprofen?

If you are allergic to Ibuprofen, you should avoid it and consider other over-the-counter pain relievers like acetaminophen (Tylenol), which you are already using. Always inform your healthcare provider about your allergies to ensure safe medication recommendations.


Preview

Post

No comments yet

Be the first one to comment

Share your feedback

All Stories

Experiencing symptoms?

Our AI will conduct a medical interview and assess what might be happening. You can also make a post afterwards.

Share your feedback