Subungual Hematoma Anatomy on POCUS

- MATRIX (M)
- echogenic NAIL PLATE, including its ventral (VP) and its dorsal aspects (DP) 
- hypoechoic SUBUNGUAL SPACE (SS) or NAIL BED. 
- HYPONICHIUM(H) and EPINICHIUM (E). 
- the dorsal cortex of the distal phalanx boney margin (DPBM) 

Trephination is your best management option for this sublingual hematoma. Normal subungual space is 1-2mm, whereas this patient’s was 4mm!

- Dr. Meghan Herbst https://twitter.com/EUSmkh

#Subungual #Hematoma #Fingernail #Nailbed #POCUS #Ultrasound #Clinical #Diagram #Sagittal #Anatomy
Meghan Kelly Herbst, MD @eusmkh · 6 years ago
UCONN Associate Professor in Emergency Medicine. Ultrasound Fellowship Yale 2011. Family, patients, education, running = my life. https://twitter.com/EUSmkh | https://www.instagram.com/eus_mkh/
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