2 Days Of Severe in Surgery — 32yo Woman | General Surgery | SMLE Q#18170
SMLE Question #18170
Surgery
General Surgery
Objective: OBJ-TRACH-EMERG-01
Last updated: February 2026
A 32-year-old woman presents with 2 days of severe throbbing pain and swelling of the distal pulp of the right thumb after a puncture from a manicure tool. She reports increasing tenderness and difficulty gripping objects. Examination shows tense erythematous swelling confined to the thumb pad with marked tenderness; the nail fold is not the main site of swelling and there is no proximal spread. What is the most likely diagnosis?
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