Case Study 1: What is your diagnosis (include staging)?

A 35-year-old Hispanic female presents to the office. She complains of severe pain in her left 1st metatarsal (big toe) on the medial corner of her nail bed. She reports that the pain has gradually worsened over the last week and she can now barely walk. She has tried soaking her foot in Epsom salts and putting antibiotic cream on her toe, none of which have helped. On physical exam her toe is swollen and erythematous with tenderness. She also has purulent drainage present.

PMHx: none

SHx: married with two children

Allergies: none

1.    What is your diagnosis (include staging)?

2.    What is the treatment plan?

3.    What post-procedure instruction should she receive?

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