under local anesthesia, the patient’s lacerated nail bed, left thumb, was repaired by removing the damaged nail from under the bed.

under local anesthesia, the patient’s lacerated nail bed, left thumb, was repaired by removing the damaged nail from under the bed. A small foreign subject that appeared to be a piece of metal was removed. The nail bed wound was irrigated and sutured closed. Bleeding was controlled through electrocautery, and the wound was dressed. (initial encounter)