MedSchool: Ace Your OSCEsThe Medical Company
GET - On the App Store
Diabetic Exam

Nail Inspection

November 28th, 2019


Diabetics often exhibit onycholysis of the nails, and poor diabetic control can lead to increased infection risk and paronychias.


  • Look For

  • Separation of the nail from the nail bed, either distally or laterally.
  • Causes of Onycholysis

  • Systemic disease - chronic kidney disease, bronchial carcinoma, anaemia, diabetes mellitus, porphyrias, peripheral vascular disease, thyrotoxicosis
  • Nail infection - fungal, bacterial
  • Skin disease - psoriasis, dermatitis, lichen planus
  • Trauma


  • Look For

  • Erythema and swelling of the skin around the fingernails, which may be associated with pus from the nail fold.
  • Significance

  • Infection, usually due to Staphylococcus, Streptoccocus or sometimes Herpes simplex.
  • Predisposing Factors

  • Ingrown nail
  • Artificial nails
  • Manicuring
  • Habitual nail biting
Next Page
Want more info like this?
  • Your electronic clinical medicine handbook
  • Guides to help pass your exams
  • Tools every medical student needs
  • Quick diagrams to have the answers, fast
  • Quizzes to test your knowledge
Sign Up Now

Snapshot: Initialising...