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NAIL SYMPTOMSDisfigured nail with swollen nail bedPainful, red, swollen area aroundthe nail.White/yellow disfigured nailsDiffuse blue/black discolourationof nails.Chronic Paronychia likely Acute Paronychia likely Fungal infection HIV or drug side effect• Often associated with working withwater. Advise patient to wear glovesand keep hands dry.• Apply betamethasone 0.1%ointment to nailfold at night.• If no better after 2 weeks, addclotrimazole cream 8 hourly.• Often associated with trauma like nailbiting or pushing the cuticle. Advisepatient to stop.• Give flucloxacillin 500mg 6 hourly for10 days.• Refer for incision and drainage if noresponse after 5 days.Refer for management if verytroublesome.If status is unknown test for HIV 60.48TB HIV CHRONIC RESPIRATORYDISEASECHRONIC DISEASESOF LIFESTYLEMENTAL HEALTH EPILEPSY MUSCULOSKELETALDISORDERSWOMEN'S HEALTH