Onychia and Paronychia of the Toe â What You Can Do. The terms onychia and paronychia refer to a type of bacterial or fungal infection that strikes the fingernails and toenails. Onychia is an infection of the nail itself, which causes inflammation of the nail and swelling of the surrounding tissue. Paronychia is an infection of the surrounding tissue, where the nail meets the skin; a paronychia infection causes inflammation, and may also lead to the formation of pus-filled abscesses.
Deep Tendon Reflexes. Using a reflex hammer, deep tendon reflexes are elicited in all 4 extremities. Note the extent or power of the reflex, both visually and by palpation of the tendon or muscle in question.
1 The Babinski reflex hammer was designed by Joseph BabiÅski in 1912 and is similar to the Queen Square hammer, except that it has a metallic handle that is often detachable. 2  Babinski hammers can also be telescoping, allowing for compact storage.owever, this proved to be cumbersome, as the weight of the chest percussion hammer was insufficient to generate an adequate stimulus for a reflex. Starting in the late 19th century, several models of specific reflex hammers were created: