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Q: What is the CPT code for simply trimming the both edges of an ingrown toenail on the big toe?
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Ingrown toenail?

DefinitionAn ingrown toenail occurs when the edge of the nail grows down and into the skin of the toe. There may be pain, redness, and swelling around the nail.Alternative NamesOnychocryptosis; Unguis incarnatus; Nail avlusion; Matrix excisionCauses, incidence, and risk factorsAn ingrown toenail can result from a number of things, but poorly fitting shoes and toenails that are not trimmed properly are the most common causes. The skin along the edge of a toenail may become red and infected. The great toe is usually affected, but any toenail can become ingrown.Ingrown toenails may occur when extra pressure is placed on your toe. Most commonly, this pressure is caused by shoes that are too tight or too loose. If you walk often or participate in athletics, a shoe that is even a little tight can cause this problem. Some deformities of the foot or toes can also place extra pressure on the toe.Nails that are not trimmed properly can also cause ingrown toenails.When your toenails are trimmed too short or the edges are rounded rather than cut straight across, the nail may curl downward and grow into the skin.Poor eyesight and physical inability to reach the toe easily, as well as having thick nails, can make improper trimming of the nails more likely.Picking or tearing at the corners of the nails can also cause an ingrown toenail.Some people are born with nails that are curved and tend to grow downward. Others have toenails that are too large for their toes. Stubbing your toe or other injuries can also lead to an ingrown toenail.Signs and testsAn examination of the foot will show the following:Skin along the edge of the nail will appear to be growing over the nail, or the nail may seem to be growing underneath the skin.Skin may be swollen, firm, red, or tender to touch. At times, there may be a small amount of pus present.Tests or x-rays are usually not needed.TreatmentIf you have diabetes, nerve damage in the leg or foot, poor blood circulation to your foot, or an infection around the nail, go to the doctor right away. Do NOT try to treat this problem at home.To treat an ingrown nail at home:Soak the foot in warm water 3 to 4 times a day if possible. Keep the toe dry, otherwise.Gently massage over the inflamed skin.Place a small piece of cotton or dental floss under the nail. Wet the cotton with water or antiseptic.You may trim the toenail one time, if needed. When trimming your toenails:Consider briefly soaking your foot in warm water to soften the nail.Use a clean, sharp trimmer.Trim toenails straight across the top. Do not taper or round the corners or trim too short. Do not try to cut out the ingrown portion of the nail yourself. This will only make the problem worse.Consider wearing sandals until the problem has gone away. Over-the-counter medications that are placed over the ingrown toenail may help some with the pain but do not treat the problem.If this does not work and the ingrown nail gets worse, see your family doctor, a foot specialist (podiatrist) or a skin specialist (dermatologist).If your ingrown nail does not heal or keeps coming back, your doctor may remove part of the nail.Numbing medicine is first injected into the toe.Using scissors, your doctor then cuts along the edge of the nail where the skin is growing over. This portion of the nail is then removed. This is called a partial nail avulsion.It will take 2 to 4 months for the nail to regrow.Sometimes your doctor will use a chemical, electrical current, or another small surgical cut to destroy or remove the area from which a new nail may grow.If the toe is infected, your doctor may prescribe antibiotics.Expectations (prognosis)Treatment will generally control the infection and relieve pain. However, the condition is likely to return if measures to prevent it are not taken. Good foot care is important to prevent recurrence.This condition may become serious in people with diabetes, poor circulation, and nerve problems (peripheral neuropathies).ComplicationsIn severe cases, the infection may spread through the toe and into the bone.Calling your health care providerCall your health care provider if you:Are unable to trim an ingrown toenailHave severe pain, redness, swelling, or feverIf you have diabetes, nerve damage in the leg or foot, poor blood circulation to your foot, or an infection around the nail, your risk for complications is higher. If you have diabetes, see your health care provider.PreventionWear shoes that fit properly. Shoes that you wear every day should have plenty of room around your toes. Shoes that you wear for walking briskly or for running should have plenty of room also, but not be too loose.When trimming your toenails:Considering briefly soaking your foot in warm water to soften the nail.Use a clean, sharp nail trimmer.Trim toenails straight across the top. Do not taper or round the corners or trim too short.Do not pick or tear at the nails.Keep the feet clean and dry. People with diabetes should have routine foot exams and nail care.ReferencesHeidelbaugh JJ, Lee H. Management of the ingrown toenail. Am Fam Physician. 2009;79(4):303-8.Richardson EG. Disorders of the nails and skin. In: Canale ST, Beaty JH, eds. Campbell's Operative Orthopedics. 11th ed. Philadelphia, Pa: Mosby Elsevier; 2007:chap 84.


What solid figure has 4 faces 9 edges and 6 vertices?

It is not any kind of simply connected solid figure because it does not satisfy the Euler characteristic which requires thatFaces + Vertices = Edges + 2It is not any kind of simply connected solid figure because it does not satisfy the Euler characteristic which requires thatFaces + Vertices = Edges + 2It is not any kind of simply connected solid figure because it does not satisfy the Euler characteristic which requires thatFaces + Vertices = Edges + 2It is not any kind of simply connected solid figure because it does not satisfy the Euler characteristic which requires thatFaces + Vertices = Edges + 2


What is the formula related vertices and edges?

There is not a specific formula fro vertices and edges. The Euler characteristic links the number of vertices, edges AND faces as follows: E + 2 = V + F for a simply connected polyhedron.


Which shap has 5 vertices 12 edges and 6 faces?

There is no simply connected shape with these properties. Euler's characteristic requires that Faces + Vertices = Edges + 2


Euler's rule for a polyhedron?

For a simply connected polyhedron,Faces + Vertices = Edges + 2


What is a figure that has 15 edges?

It is a pentadecagon or pentakaidecagon, sometimes simply called a 15-gon.


How can you find the number of sides in the polygon?

simply count the edges - e.g. a square has 4


What is the best way to sooth a ingrown toenail?

It is important to understand why the toenail is ingrown!One of the main reasons is that people tend to cut the nail in a curve, following the edge of where it is attached underneath. This makes the shape of the nail curved. It is longer on the middle than at the edges. Over time this will make the nail curve upward in the middle where it is longest and down at left and right side. This can lead to an ingrown nail, as it cuts into the skin on left or right (even both sides) as it grows.The "best" method to use "curing" this condition is a combination of two.1: left and right sides should be cut straight at an angle of approx 5-10 degrees as far down towards the middle of the nail as you can painfully stand. This would make the nail push the skin to the sides (rather than grow deep into the skin) as it slowly grows outwards.2: Use a nail-file on the top middle and towards the root of it. File away approx 1/3 of the thickness, no more. This should make the nail curve upwards instead of down. (Do not expect miracles. This process of curving the nail upwards will take some days if not weeks.)In order to avoid ingrown nails in future:1: Never cut the nails short. Leave a millimeter or two.2: Always cut them straight over. This makes sure that they do not curve downwards as much.3: Use a nail-file to weaken the nail slightly on top middle towards the root. This "encourages" the nail to grow upwards rather than down at the sides.Notes.Procedures described is similar to what a doctor normally would use or suggest.A doctor would normally give a local anesthetic before performing this action. There are some local numbing cream available that could be used at most pharmacists or drugstores. Leave cream on to work for 10 min before doing anything. This will ease the pain a bit.Badly ingrown nails some times require part of the root to be removed. I do not suggest doing this yourself.I have used above-mentioned procedure on my painful toenail since I was 16. Now at the age of 40, I rarely have any problems, and if the toenails starts something I just follow this procedure and a week afterwards or so, all problems are gone again.Must admit that I have a high threshold for pain. lol


What has 8 faces 18 edges and 12 verticals?

the shape that has 8 faces , 18 edges , and 12 vertices is simply a hexagonal prism not a pyramid my butt :P