RT Book, Section
A1 Murtagh, John
A1 Murtagh, Clare
SR Print(0)
ID 1164449700
T1 N
T2 Murtagh’s General Practice Companion Handbook, 7e
YR 2019
FD 2019
PB McGraw-Hill Education (Australia) Pty Ltd
PP Sydney, Australia
SN 9781743767474
LK murtagh.mhmedical.com/content.aspx?aid=1164449700
RD 2024/04/19
AB The  main  nail  problems  encountered  in  general  practice  are  trauma,  onychomycosis,  infection,  ingrowing  toenails,  paronychia  and  psoriasis.  Damage  to  the  nail  from  trauma  or  disease  results  in  nail  dystrophy.  The  problem  of  nail  changes  due  to  onychotillomania,  be  it  from  excessive  nail  biting,  picking  or  cleaning,  should  be  suspected  from  the  history  and  examination.  Enquire  whether  the  hands  are  frequently  used  in  wet  work  or  dirt.  Look  for  associated  skin  disease  (e.g.  psoriasis,  atopic  dermatitis,  lichen  planus).