If the patient has complicating factors such as diabetes mellitus or if the care is delayed, then the simple felon can be complicated by distal phalanx osteomyelitis, DIP joint infection or necrosis of the pulp skin. The natural history of the neglected felon. Iowa Orthop J 1996;16:164-6. PMID: 1155734; Weiner JJ. Kilgore ES Jr, Brown LG, Newmeyer WL, et al. The pulp of the finger is tense, red and very painful. He was fine for a few days but then the fingertip began to get sore and swell. License to use CPT for any use not authorized herein must be obtained through the AMA, CPT Intellectual Property Services, 330 N. Wabash Avenue, Chicago, IL 60611. Avoiding contact with others who have herpes may prevent herpetic infections, though there may be no way to know in advance who has the infection.

He now presents with throbbing pain in the pulp of the left index finger. Treatment of felons. The proper wound care varies for each of the different infections. You agree to take all necessary steps to ensure your compliance with the terms of this agreement.Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CPT for resale and/or license, transferring copies of CPT to any party not bound by this agreement, creating any modified or derivative work of CPT, or making any commercial use of CPT.
This problem can be treated with a dermatologist. For procedures associated with this Diagnostic Guide the CPT Codes are provided above. We comply with the HONcode standard for trustworthy health information - felon) Immediate treatment must be taken for this ailment. Available for Android and iOS devices. Select one or more newsletters to continue. The proper wound care varies for each of the different infections. 2000 Jan. 25(1):173-5. . CPT is a registered trademark of the AMA. Felon: A felon is an infection of the fingertip. infection inside the tip of the finger can form an enclosed pocket of pus (or abscess) that is very painful as it expands Tenderness, redness, firmness and enlargement of the fingertip are all signs of a felon.
Am J Surg 1975;130(2):194-8. If the microbial pouch expands, it can squeeze the blood vessels which can result in the fingertip blood circulation cut off. Felon Right Thumb (Hover over right edge to see more images)Drainage of finger abscess; complicated (e.g. Watson PA, Jebson PJ. He removed the splinter himself with his jackknife. ... Connolly B, Johnstone F, Gerlinger T, Puttler E. Methicillin-resistant Staphylococcus aureus in a finger felon. This can lead to a more serious infection, called osteomyelitis, which takes much longer to cure.Like other types of infections, felons sometimes begin after the finger is punctured by a wood splinter or something else.A felon causes extreme pain at the fingertip, especially when pressure is applied to the "fingerprint" surface.

Your doctor may prescribe an antiviral medication, such as If you have this or any skin or wound infection, make sure you are up-to-date with your tetanus vaccinations.Because of the complications that can occur from a felon, you should see your doctor and go to an emergency room for immediate care if you develop sudden or severe pain or swelling in a finger.The prognosis is excellent. He has had no treatment except for removing the splinter and soaking the finger.Per an agreement between Hand Surgery Resource, LLC and the American Medical Association (AMA) users are required to accept the following End User Point and Click Agreement in order to view CPT content on this website. There may be an accumulation of a white, thick discharge (pus). Felons almost always need to be opened and drained by a doctor before they can heal. People with diabetes who prick their fingers for home blood tests should first wipe the fingertip with alcohol. Treatment consists of incision and drainage, warm-water soaks and, sometimes, oral antibiotics. Complications are rare and usually can be prevented with prompt diagnosis and treatment.Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. An infection inside the tip of the finger can form an enclosed pocket of pus (or abscess) that is very painful as it expands. Reference materials for these codes is provided below. Also, an untreated felon can spread its infection to the bone within the finger. A felon is a subcutaneous abscess of the distal pulp of a phalanx, characterized by multiple vertical and fibrous trabeculae or septa. He thought that he had removed all the splinter fragments. For severe cases, a more extensive operation may be necessary including making a small hole in the nail to allow additional drainage.If the infection is actually a herpetic whitlow rather than a felon, drainage is not performed because it may delay healing or increase the risk of bacterial infection.

He or she will ask whether you have had an injury in the area. Applications are available at the AMA Web site, The American Medical Association (AMA) and Hand Surgery Resource, LLC have entered into a royalty free agreement which allows Hand Surgery Resource to provide our users with 75 commonly used hand surgery related CPT Codes for educational promises.

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