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1 1.  Reduce pain  Prevent potential injury  Subungual ulceration  Subungual hematoma  Cosmesis  Not everyone is a candidate for definitive treatment.

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Presentation on theme: "1 1.  Reduce pain  Prevent potential injury  Subungual ulceration  Subungual hematoma  Cosmesis  Not everyone is a candidate for definitive treatment."— Presentation transcript:

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2  Reduce pain  Prevent potential injury  Subungual ulceration  Subungual hematoma  Cosmesis  Not everyone is a candidate for definitive treatment 2

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5  PVD?  Neuropathy?  Other immunocompromis e? 5

6  Gloves  Eye Protection  Gauze  Nail nippers  Bandaids 6

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11  Depends on the condition of the toenail 11

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16  Pain  Potential ulceration  Difficult definitive treatment  Not all patients are good candidates for surgical treatment 16

17  Heloma durum (HD)  Excrescence  Hyperkeratosis  Hyperkeratotic papule 17

18  Tyloma  Intractable Plantar Keratosis  Hyperkeratotic papule 18

19  PVD?  Neuropathy?  Other immunocompromis e? 19

20  Gauze  Blade handle  Blade  Kelly Forceps  Gloves 20

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27  Blood  Color  Texture  Skin Lines 27

28  Don’t say “oops”  Inform the patient  Hemostasis  Clean with alcohol  Dress with antibiotic  Cover with a bandaid  Patient instructions  Follow up 28

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30  C&C is not covered by Medicare, unless…  Normal toenails are not covered by Medi-Cal  Most private insurance co’s do not cover C&C 30


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