Page 73 - 2021 IDMT Digital
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SUBUNGUAL HEMATOMA
Introduction:
• 2FFXUV ZKHQ EORRG EHFRPHV WUDSSHG EHWZHHQ WKH QDLO SODWH DQG WKH QDLO EHG XVXDOO\ DV
D UHVXOW RI WUDXPD
Subjective:
• 6LJQV DQG 6\PSWRPV
o 3DLQ DQG HYHQWXDO VHSDUDWLRQ RI DQG WHPSRUDU\ ORVV RI WKH QDLO SODWH
• )RFXVHG +LVWRU\
o 7UDXPD RU LQMXU\ KLVWRU\
Objective:
• 3K\VLFDO ([DP
o 6ZHOOLQJ HFFK\PRVLV DQG GLVUXSWLRQ RI QDLO SODWH
o %ORRG PD\ EH YLVLEOH XQGHU QDLO
o 1DLO PD\ EH WHQGHU WR SDOSDWLRQ
Assessment:
• 'LIIHUHQWLDO
o )UDFWXUH LI WUDXPD LV VXVSHFWHG WKHQ REWDLQ [ UD\
o 6XEXQJXDO PHODQRPD SLJPHQWHG QDLO SDLQOHVV QR WUDXPD KLVWRU\
o 6XEXQJXDO NHUDWRDFDQWKRPD WXPRU RI ILQJHU DQG QDLO EHGV SUHVHQWV VXGGHQO\
ZLWK SDLQ VZHOOLQJ LQIODPPDWLRQ QR WUDXPD KLVWRU\
Plan:
• 1DLO WUHSKLQDWLRQ
o &UHDWH D KROH LQ WKH QDLO SODWH HVFDSH IRU WKH EORRG XVLQJ DQ JDXJH QHHGOH
RU HOHFWURFDXWHU\ WRRO. Not effective >48hrs of initial trauma.
Patient Education:
• )ROORZ XS $FWLRQV
o )ROORZ XS IRU IXUWKHU HYDOXDWLRQ LI V\PSWRPV GR QRW LPSURYH ZLWKLQ GD\V
Preceptor Directive:
• Green Directive: Routine Review by Preceptor IAW AFI 44-103
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