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Emergency
trauama
hematomas
A 35-year-old woman presents to an urgent care clinic complaining of significant throbbing pain in her left middle finger after accidentally dropping a heavy cast-iron pan on it approximately three hours ago. She reports no prior injury to the finger. On examination, there is noticeable swelling and a dark purplish discoloration beneath the nail plate, involving roughly 70% of the nail bed. There are no obvious external lacerations or avulsions of the fingertip, and capillary refill is brisk. She rates her pain as an 8/10. X-rays of the finger reveal no evidence of a fracture or dislocation. Complete blood count shows a WBC of 8.5 x 10^9/L, Hemoglobin of 13.8 g/dL, and Platelets of 280 x 10^9/L. What is the most probable diagnosis for this patient's condition, and what is the immediate, least invasive management strategy to alleviate her symptoms?
| Lab Parameter | Value | Reference Range |
|---|---|---|
| White Blood Cell Count (WBC) | 8.5 x 10^9/L | 4.5-11.0 x 10^9/L |
| Hemoglobin | 13.8 g/dL | 12.0-15.5 g/dL |
| Platelets | 280 x 10^9/L | 150-450 x 10^9/L |
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