2 Days Of Severe in Surgery — 28yo Woman | General Surgery | SMLE Q#18050
SMLE Question #18050
Surgery
General Surgery
Objective: OBJ-TRACH-EMERG-01
Last updated: February 2026
A 28-year-old woman presents with 2 days of severe throbbing pain and swelling of the volar pulp of the right thumb after a puncture injury with a metal tool. She has difficulty gripping objects due to pain. Examination shows a tense, erythematous, fluctuant swelling localized to the distal thumb pad with marked tenderness. The nail plate and nail bed are intact, and there is no erythema of the nail folds. What is the most likely diagnosis?
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