September Q&A

Your Content Goes Here Author: Mike Casteel, DPM, FACPM, FAPWHc   HPI 50 y/o male presented to the clinic with a complaint of a “thickened fingernail, right pointer finger”, present for approximately 2 years. Patient relates no history of trauma to the nail and no previous skin cancer. Occupation: accountant. Past Medical History Hypertension Past Family / Surgical History Non-contributory Physical Exam The right 2nd fingernail is positive for Xanthonychia Longitudinal over-curvature of the nail plate "Honey-comb” appearance of the distal aspect of the nail plate Splinter hemorrhaging WHAT'S YOUR DIAGNOSIS? [...]