[56F] With painful, itchy, swollen left index finger

Patient Description

A 56-year-old female presents with severe itching, pain, and swelling localized to the left index finger, extending from the middle knuckle to the hand knuckle. The symptoms began 48 hours ago and have worsened over the last 24 hours. The patient rates the pain as a 5 out of 10 and reports soreness to touch and when moving the finger, with associated throbbing. There is a slit on the affected finger, but no recollection of a cut or injury. The patient denies any fever, red streaks, numbness, tingling, or loss of function, aside from pain when bending the finger. There is no known history of immune-compromising conditions, and the patient is not on any immunosuppressive medications. The patient's medical history is unremarkable, with no chronic illnesses or allergies to medications. Currently, the patient is taking Lisinopril 10 mg once daily for hypertension. No other medications, over-the-counter drugs, or supplements are being taken.

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Arora's Assessment

What might be happening

Based on the information you've provided, the most likely cause of your symptoms is a bacterial infection, possibly cellulitis. Cellulitis is a common bacterial skin infection that can cause redness, swelling, pain, and warmth in the affected area. The slit in your finger could have allowed bacteria to enter your skin and cause the infection.

  • Treatment usually involves antibiotics to kill the bacteria causing the infection. Pain relief and anti-itch medications may also be prescribed to help manage your symptoms.

What you can do

While I strongly recommend you seek medical attention as soon as possible, here are some things you can do in the meantime:

  1. Keep the area clean and dry: Wash the area gently with soap and water, then pat it dry. Avoid scratching or picking at the area to prevent the infection from spreading.

  2. Apply a cold compress: This can help reduce swelling and relieve pain. Wrap a bag of ice or a cold pack in a cloth and apply it to the area for 15-20 minutes at a time.

  3. Elevate the affected hand: This can help reduce swelling. Try to keep your hand elevated above the level of your heart as much as possible.

  4. Over-the-counter pain relievers: Non-prescription pain relievers like ibuprofen can help manage your pain.

What you should look out for

Please seek immediate medical attention if:

  • The redness, swelling, or pain gets worse
  • You develop a fever or chills
  • You notice red streaks spreading from the infected area
  • You have difficulty moving your finger

Remember, I'm an AI and not a doctor. It's important to consult with a healthcare professional who can examine you and provide a formal diagnosis and treatment plan.

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10 mo ago

People Also Ask


What is cellulitis and how does it occur?

Cellulitis is a common bacterial skin infection that occurs when bacteria, often streptococcus or staphylococcus, enter the skin through a cut, scratch, or other break. It results in redness, swelling, pain, and warmth in the affected area.


What are the common symptoms of a bacterial skin infection like cellulitis?

Common symptoms of cellulitis include redness, swelling, pain, warmth in the affected area, and sometimes fever. The skin may also feel tight and tender to the touch.


How is cellulitis typically treated?

Cellulitis is typically treated with antibiotics to eliminate the bacteria causing the infection. Pain relief and anti-itch medications may also be prescribed to manage symptoms. It's important to complete the full course of antibiotics even if symptoms improve.


What should I do if my symptoms of cellulitis worsen?

If symptoms of cellulitis worsen, such as increased redness, swelling, pain, fever, or the appearance of red streaks spreading from the infected area, it is important to seek immediate medical attention. These could be signs of a spreading infection that requires prompt treatment.


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