25 year old fish processor presents to vessel medic 2 weeks | Figure 1

mendozaPA-C

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Physician Assistant

25 year old fish processor presents to vessel medic 2 weeks after being "poked" by a Sculpin fish just below the cuticle of the right ring finger. Fingernail is exquisitely tender to palpation and there's new onset of skin desquamation. Peripheral pulses equal bilaterally and vital signs normal. My Ddx is fish poisoning gangrene vs #pseudomonas vs marine bacterial infection. Any thoughts or advice?

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