Picture quiz: Toenail presentations

The Nursing in Practice ‘picture quizzes’ aim to test your knowledge through photo presentations of symptoms. Work your way through them to understand the key clinical problems faced by patients, and how to correctly identify them. Press ‘start’ below to begin the quiz.

<p><strong>Related Article: </strong> <a id="related_article_link_1" href="https://www.nursinginpractice.com/clinical/dermatology-and-wound-care/cpd-case-by-case-acute-and-emergency-dermatology-presentations/">CPD: Case by case – acute and emergency dermatology presentations</a> <section data-block="MultipleChoice"> <h3>A 45-year-old woman is concerned about this black line that has appeared under her big toenail. Can you reassure her about the cause?</h3> <ul> <li>Fungal nail infection</li> <li>Melanoma</li> <li>Subungual haematoma</li> <li>Ingrowing toenail</li> </ul> </section> <section data-block="MultipleChoice"> <h3>A 23-year-old woman wants to know what you are going to do about her ‘manky toenail’ as it is summer and she feels she can’t wear sandals. What is the possible diagnosis?</h3> <ul> <li>Fungal nail infection</li> <li>Melanoma</li> <li>Subungual haematoma</li> <li>Ingrowing toenail</li> </ul> </section> <section data-block="MultipleChoice"> <h3>This 15-year-old’s toe had become increasingly red and painful over the preceding three days. Prior to this he had developed a blister on the top of the toe after wearing new shoes. He was systemically well, but had had type 1 diabetes for a number of years. He had been soaking the foot in swarm saline solution, but it wasn’t improving.</h3> <ul> <li>Herpetic whitlow</li> <li>Tinea pedis</li> <li>Eczema</li> <li>Cellulitis</li> </ul> </section> <section data-block="MultipleChoice"> <h3>This lady reported increasing pain in the first metatarsal joint of her right foot. It had been the same for months and she had started to struggle with footwear. There was no redness, swelling or tenderness over the joint. The other foot was similar in appearance. For many years she had worn high heels, which she found now exacerbated the pain.</h3> <ul> <li>Hallux valgus</li> <li>Osteoarthritis</li> <li>Rheumatoid arthritis</li> <li>Gout</li> </ul> </section> <section data-block="MultipleChoice"> <h3>Over a number of months this man’s left middle toe had become progressively more flexed at the proximal interphalangeal joint, to the point where the flexure was fixed and he was no longer able to straighten it. This has started to cause problems with footwear and he was and no longer able to wear a number of his shoes without pain over the joint.</h3> <ul> <li>Bunion</li> <li>Dupuytren’s contracture</li> <li>Hammer toe</li> <li>Psoriatic arthritis</li> </ul> </section> <section data-block="MultipleChoice"> <h3>For a number of years this man’s foot had itched, especially in the toe webs. The affected areas often looked moist and occasionally there was an odour associated with this. For no obvious reason the toe had started to feel painful, red and the itch had intensified. There was a slight discharge but no crusting. The application of antiseptic creams hadn’t helped.</h3> <ul> <li>Haematoma</li> <li>Tinea</li> <li>Eczema</li> <li>Chilblains</li> </ul> </section> <p>  <p>  <div id="article_leaderboard2" class="article-lb mb-4 widget_text widget adbanner mpu d-none d-md-none d-lg-block "> <div class="textwidget custom-html-widget">  <div id="article-lb"><script> googletag.cmd.push(function() { googletag.display("article_leaderboard2"); }); </script></div> </div> </div> <p>  <p>  <p><strong>Related Article: </strong> <a id="related_article_link_2" href="https://www.nursinginpractice.com/clinical/dermatology-and-wound-care/mythbuster-this-patients-ulcer-swab-is-positive-so-they-need-antibiotics/">Mythbuster: ‘This patient’s ulcer swab is positive so they need antibiotics’</a> <p>  <p>

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Picture quiz: Toenail presentations

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