### Patient: Hi doctor, I think I have Onychomycosis, this is a fungal infection that affects the nails of my toes, making them thick, crumbly, and discolored. What should I do?
### Doctor: Well, we need to perform a complete physical skin exam to check the severity of the infection in your nails. We also need to examine your foot to determine if the skin around the infected nail is affected. In addition, we need to perform a hemoglobin A1c measurement to check your blood glucose level. We also need to run a lipid panel to evaluate your cholesterol levels. We may need to perform an excision of the infected nail if the infection is severe. Finally, we will provide wound care management, and other non-OR therapeutic procedures to treat any skin and breast infections.