medium_monthly-theme-geometric.png

small_monthly-theme-geometric.png

thumbnail_monthly-theme-geometric.png

monthly-theme-geometric.png

Onychomycosis is common, but often misdiagnosed, mistreated, and misunderstood. In this episode of The Spot Check, Jamie Restivo, PA-C, is joined by podiatric physician and nail expert Tracey Vlahovic, DPM, for a pearl-packed discussion on how to correctly evaluate dystrophic nails, confirm the diagnosis, and set realistic expectations for patients.A key takeaway: not every dystrophic nail is fungal. Trauma, biomechanics, gait changes, and footwear can all shape nail morphology in ways that mimic infection. Looking globally at the foot, considering structural deformities, and using tools like dermoscopy can help clinicians avoid reflexively reaching for antifungals when the underlying issue is mechanical.The conversation also covers diagnostic confirmation and why proper nail sampling matters. Because fungal infection originates in the nail bed, distal nail plate alone may not provide a useful specimen, a mistake that can lead to false negatives and misdirected treatment. &nbsp;From treatment expectations to oral therapy pearls, Dr Vlahovic emphasizes a central principle—nails tell a story. Taking the time to read it carefully can change both the diagnosis and the outcome.

Tracey Vlahovic, DPM

Onychomycosis: What We Miss, What Works, and Setting Realistic Expectations

This PANP360 Monthly Themed Experience equips you with the knowledge and tools to confidently diagnose and manage common nail disorders in clinical practice. Through an expert-led video, clinical article, and comprehensive quick reference chart, you’ll gain practical treatment strategies, recognize red flags that require urgent intervention, and strengthen your ability to deliver accurate, efficient, and high-quality nail care.

Nails

Nails Quick Reference Chart

PANP360 Nail Conditions 101 - Part 1

PANP360 Nail Conditions 101 - Part 2

PANP360 Nail Conditions 101 - Part 3

PANP360 Nail Conditions 101 - Part 4

PANP360 Nail Conditions 101 - Part 5

thumbnail_Full_2x_White.webp

Full_2x_White.webp

The leading solutions platform for dermatology professionals to elevate patient care.

Helpful Links

Contact Us

Enter your email to get the latest updates.

Subscribe now

Condition Center

Top Conditions

DermToolkit

Conditions & Treatments

Videos

Podcasts

Cases

News

Learn from the Experts

Practice Management

Access Management

Career Services

Job Board

Support Your Practice

Conferences & Highlights

PANP360

Journals

Early Career

Weekly Competitions

Specialty Pharmacies

Market Research

Community Resources

Our Expert Network

Psoriatic Arthritis

Have a question?