Hand deep space infection
Revision as of 23:26, 27 June 2016 by Neil.m.young (talk | contribs) (Text replacement - "Tintinalli" to "")
Background
- Volar surface contains potential deep spaces that may become infected
- Dorsal aspect contains the veins and lymphatics; will always swell whenever there is an inflammatory process
Clinical Features
- Tenderness, induration, or fluctuance over volar aspect of hand
- Pain w/ range of motion of digits
Differential Diagnosis
Hand and finger infections
- Bed bugs
- Closed fist infection (Fight Bite)
- Hand cellulitis
- Hand deep space infection
- Hand-foot-and-mouth disease
- Herpetic whitlow
- Felon
- Flexor tenosynovitis
- Paronychia
- Scabies
- Sporotrichosis
Look-Alikes
Treatment
- Parenteral antibiotics
- Hand surgeon consult