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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Treat Purple Discolouration And Pus In The Thumb Caused Due To An Injury?

My housemate has a cut near the nail on her thumb, happened Saturday while weeding in the garden. Went to Kaiser Sunday, they prescribed antibiotics, heat, and keeping it raised. She wasn t very diligent about this. Now, after 4 days of antibiotic, the thumb is purple at the tip, 25 % swollen and has a broad band of pus whiteness. And then she poked it with a needle today. Appt with MD tomorrow, but I m worried about sepsis. ER tonight or No?
Tue, 19 Jun 2018
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Orthopaedic Surgeon,  's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.

I guess she developed a nail bed infection or felon.
Treatment for which is antibiotics and if not relieving then drainage of pus. Which you have already done. However, drainage not done under proper sterile environment and also Tetanus Toxoid (TT) taken or not.
Continue antibiotic and do visit doctor so that proper drainage can be done and further course of treatment can be decided.

Hope I have answered your query. Let me know if I can assist you further.
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How To Treat Purple Discolouration And Pus In The Thumb Caused Due To An Injury?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I guess she developed a nail bed infection or felon. Treatment for which is antibiotics and if not relieving then drainage of pus. Which you have already done. However, drainage not done under proper sterile environment and also Tetanus Toxoid (TT) taken or not. Continue antibiotic and do visit doctor so that proper drainage can be done and further course of treatment can be decided. Hope I have answered your query. Let me know if I can assist you further.