system
Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
A 67-year-old man presents to his family physician’s office for a routine visit and to discuss a growth on his toenail that has been gradually enlarging for a month. He has a history of diabetes mellitus, hyperlipidemia, and hypertension and is on metformin, atorvastatin, and lisinopril. He admits to smoking 2 packs of cigarettes daily for the past 45 years. His blood pressure reading today is 132/88 mm Hg, heart rate is 78/min, respiration rate is 12/min and his temperature is 37.1°C (98.8°F). On exam, the patient appears alert and in no apparent distress. Capillary refill is 3 seconds. Diminished dull and sharp sensations are present bilaterally in the lower extremities distal to the mid-tibial region. An image of the patient’s toenail is provided. A potassium hydroxide (KOH) preparation of a nail clipping sample confirms the presence of hyphae. Which of the following treatment options will be most effective for this condition?
assistant
Terbinafine