How would you manage this lesion under the toenail?

In this week's case discussion, submitted by Dr John O'Bryen, a 61-year-old lady presents with concerns about discolouration in her right big toenail. 

The patient has a history of SCC and BCC. She recently saw a movie about Bob Marley and is now concerned she has nail melanoma.

What is your diagnosis, and what would you do next?

Update

The diagnosis is subungual haematoma.

	Would you like to obtain advice or share your experience with your colleagues and Dr Terry Harvey in the weekly blog case discussion?  Participate with your cases so that we can learn together! Submit your case here or send details to admin@healthcert.com
Contributing to the Skin Cancer Case Discussion Blog helps meet your annual Performance Review CPD requirement!
Submit your own case* = 1 CPD hour (Performance Review) *Case must be published on the blog to qualify.	Comment/engage with colleagues’ cases  = 0.5 CPD hours (Performance Review)
How to claim your CPD hours If you interact with this case or submit your own case, you can Quick Log your CPD hours with the RACGP via the usual self-submission process. You will be asked to reflect on what you have learned, and you will require proof you interacted with the blog; a screenshot will suffice.