What condition may necessitate a medical referral due to its potential severity?

Pyogenic granuloma is a condition that may require a medical referral due to its potential severity. It presents as a red, raised, and often bleeding lesion that can develop on the skin or mucous membranes, often in response to irritation or trauma. While not cancerous, pyogenic granulomas can be indicative of underlying issues that may need further evaluation by a healthcare professional.

This condition has a tendency to bleed easily and may pose challenges regarding infection and management, especially in a nail salon context where cleanliness is critical. Therefore, referring a client with this condition to a physician is essential for appropriate diagnosis and treatment, which could involve surgical removal or other therapeutic interventions.

The other conditions listed, such as onycholysis, splinter hemorrhage, and tinea pedis, can present their own challenges, but they typically do not require immediate medical intervention in the same way that pyogenic granuloma does. Onycholysis is the separation of the nail from its bed, splinter hemorrhages are usually harmless injuries to the nail, and tinea pedis is a fungal infection that can often be managed effectively with over-the-counter treatments.