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A fingernail or toenail can be injured by a blow to the nail or by closing the finger or toe in a door or drawer. This kind of trauma commonly results in blood under the nail, a condition called subungual hematoma.
Treatment for a subungual hematoma is aimed at relieving pressure by draining the blood trapped under the nail. For a small hematoma, you can heat a needle or the end of a paper clip until it is red-hot. Using gentle pressure, the hot tip can penetrate the nail, creating a small hole through which blood can drain. The nail may remain discolored after the procedure.
http://www.intelihealth.com/IH/ihtIH/WSIHW000/9339/10824.html
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