Brief Answer:
Primary care and investigations.

Detailed Answer:
Hi.
Thanks for your query.
To recapitulate: Female/70 - slammed on the stone step and got a blister - on first toe - along the second joint - bruise goes around to the bottom of the toe - wants to know what to do...

I would advice you the following:

- If this has happened just now , apply ice.
- Elevate the foot above the heart level in laying down position to reduce the pain and the edema.
- Take an anti-inflammatory medicine with painkiller properties like Ibuprofen if it suits you
- Go to ER to have X-rays of the affected area to rule out fracture.
- You will be given medicines as per the actual findings and further care as needed

I hope this answer helps you to get an appropriate diagnosis and treatment.
Please feel free to ask for further relevant queries if you feel that there is a gap of communication.

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Brief Answer:
Not to be worried about much.

Detailed Answer:
Thanks for your feedback.
Since there is not much of a pain, you can move the toe and the blood blister came up after more than 24 hours after injury, the worry is less.
This may be due to venous trauma slowly progressing to form a blister after 24 hours. Not to be concerned much.

Apply liquid povidone iodine locally to the whole foot to keep the area sterile and keep the leg elevated, rest of the things as discussed.

I hope this answers your query.

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Brief Answer:
You are most welcome.

Detailed Answer:
Thanks for your appreciation.

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