Avulsed Nail, Bleeding Control on Patient taking Plavix and Aspirin

Use of topical hemostat in a clinical setting to control bleeding on an avulsed nail

This is a 48 year old chronically obese diabetic who has lymphedema, severe venous insufficiency and Charcot arthropathy. Here you can see all the verrucous epidermal hyperplasia from his long-standing lymphedema.

He also has a large venous ulceration on his left lateral ankle that we have treated but it has recurred because of him being non-compliant and not wearing his pressure off loading boots while he is sleeping. He had this severe onychomycosis, onychocryptosis and his nailed was avulsed.

Given the fact he’s on Plavix and aspirin, in the office we started with Lumicain for three or four minutes to get it to stop bleeding, but it wasn’t. This required the use of the OMNI-STAT to control the bleeding and then we applied advanced topicals over that with his multi-layer compression bandaging.

Presented by Matthew Regulski, DPM

Dr. Matthew Regulski, DPM is a podiatric surgery specialist in Browns Mills, NJ. Dr. Regulski completed a residency at Main Line Health System – Phila, PA. He currently practices at Ocean County Foot & Ankle Surgical Associates, P.C. and is affiliated with Community Medical Center.

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