Diagnose it
A 37-year-old woman with a history of hypertension presented with green discoloration of her right first toenail (Figure) She noticed the color change two days earlier when an artificial nail fell off. She had nail polish and artificial nails on all of her toenails. She had no toe pain, trauma to the area, or associated rash, swelling, or drainage. She was not a runner. -Question Based on the patient's history and physical examination findings, which one of the following is the most likely diagnosis? A. Acral-lentiginous melanoma. B. Melanonychia striata. C. Onychomycosis. D. Pseudomonas infection.
I would say D, cause of green color + atherosclerosis due to HTN made her more vulnerable
I would say D, cause of green color + atherosclerosis due to HTN made her more vulnerable
I would say D, cause of green color + atherosclerosis due to HTN made her more vulnerable
I would say D,Because of the discoloration. But couldnt it also be a reaction to the fake nails, maybe the adhesive glue she used or her nail polish??? Could this just be a simple reaction her body had???
Go with C. Onychomicosis as a warning sign of peripheral arterial disease, re: hypertension
