17 years old M pt. ,NKDA,no PMHx .came to ED with painful Rt | Figure 1

drkhaledragab

Emergency Medicine

17 years old M pt., NKDA, no PMHx. came to ED with painful Rt. upper limb with tenderness of joints movements from today. the condition started 2 days ago with infected subungual middle finger nail which after that developed a red streak started from the dirsum of hand and ascended towards the axilla. O\E vitally stable, no palpable axillary LNs just tender with palpation, Bloods within normal range..

Dx, Tx ?

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