<prompt> Most appropriate treatment for acute paranychiaPaial nail removalNail removalLifting of eponychiumIncision and drainage  <response>: .ACUTE PARONYCHIA It is the most common hand infection. It occurs in subcuticular area under the eponychium. Minor injury to finger is the common cause. Suppuration occurs very rapidly. It tracks around the skin margin and spreads under the nail causing hang nail or floating nail. Organisms are Staphylococcus aureus and Streptococcus pyogenes Treatment -- Pus is sent for culture and sensitivity. Antibiotics like cloxacillin, amoxycillin. Analgesics. The pus is drained by making an incision over the eponychium. If there is a floating nail, then the nail is dead and it has to be removed. Recovery is fast. ref:SRB;s manual of surgery,ed 3,pg no 132 . 