Aafp home page > news & publications > journals > afp > vol. generic viagra online 68/no. 11(december 1, 2003)   december 1, 2003 table of contents common acute hand infections dwayne c. 40 mg viagra one dose Clark, cdr, mc, usn, naval hospital jacksonville, jacksonville, florida am fam physician. â 2003â decâ 1;68(11):2167-2176. Hand infections can result in significant morbidity if not appropriately diagnosed and treated. viagra expected results Host factors, location, and circumstances of the infection are important guides to initial treatment strategies. Many hand infections improve with early splinting, elevation, appropriate antibiotics and, if an abscess is present, incision and drainage. Tetanus prophylaxis is indicated in patients who have at-risk infections. viagra how long for it to work Paronychia, an infection of the epidermis bordering the nail, commonly is precipitated by localized trauma. Treatment consists of incision and drainage, warm-water soaks and, sometimes, oral antibiotics. Afelon is an abscess of the distal pulp of the fingertip. An early felon may be amenable to elevation, oral antibiotics, and warm water or saline soaks. next day delivery generic viagra uk Amore advanced felon requires incision and drainage. Herpetic whitlow is a painful infection caused by the herpes simplex virus. pfizer viagra price in india 2012 Early treatment with oral antiviral agents may hasten healing. Pyogenic flexor tenosynovitis and clenched-fist injuries are more serious infections that often require surgical intervention. Pyogenic flexor tenosynovitis is an acute synovial space infection involving a flexor tendon sheath. Treatment consists of parenteral antibiotics and sheath irrigation. buy viagra on line without prescription A clenched-fist injury usually is the result of an altercation and often involves injury to the extensor tendon, joint capsule, and bone. Wound exploration, copious irrigation, and appropriate antibiotics can prevent undesired outcomes. viagra no prescription usa The hand can easily be injured during everyday activities. http://cocalicovalleyhs.org/cyo-buy-viagra-cheap-price-wu/ Any trauma to the hand, particularly a penetrating trauma, may introduce damaging pathogens. The hand's compartmentalized anatomy may contribute to the development of an infection. If an infection is not appropriately diagnosed and treated, significant morbidity can result. Some general wound-care principles apply to all hand infections. viagra generic 1 , 2 most hand infections can be treated with an initial period of rest, immobilization, and elevation. Splint immobilization and elevation can protect the affected area, minimize edema, and decrease pain. order viagra If a single digit is infected, a finger splint supporting the interphalangeal joints in extension is usually adequate. If the palm, the metacarpophalangeal (mcp) joint, or larger portions of the hand are infected, splinting in a position of f.