trauama/hematomas

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683b964d31242d93219d2c69

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 ParameterValueReference Range
White Blood Cell Count (WBC)8.5 x 10^9/L4.5-11.0 x 10^9/L
Hemoglobin13.8 g/dL12.0-15.5 g/dL
Platelets280 x 10^9/L150-450 x 10^9/L

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