History of Present Illness:
A woman comes to the ER for a dog bite that happened yesterday
Vital Signs & Physical Exam:
Vital signs are normal. Four puncture wounds. No tears. Swollen but compartments soft. Distal NV intact
Initial Diagnostic Testing:
What treatment is probably most urgently indicated here?
- A) IV antibiotics and admission
- B) OR for Fasciotomy
- C) Oral antibiotics and wound check
- D) OR for wound debridement
SCROLL DOWN FOR ANSWERS & 1-MINUTE CONSULT
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THE EMERGENCY MEDICINE POCKETBOOK TRIFECTA
- Emergency Medicine 1-Minute Consult, 5th edition
- A-to-Z EM Pharmacopoeia & Antibiotic Guide, NEW 5th edition (currently printable pdf only)
- 8-in-1 Emergency Department Quick Reference, 5th edition
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<<<<<<<<<<<<<<<<<<<<<<<<< END SPACER >>>>>>>>>>>>>>>>>>>>>>>>>
QUIZ ANSWER:
- A) IV antibiotics and admission – too early for osteomyelitis
- B) OR for Fasciotomy – always consider compartment syndrome
- C) Oral antibiotics and wound check – CORRECT – there is periosteal violation
- D) OR for wound debridement – there is sub-cutaneous air but that was from the puncture not ned-fasc
CASE CONCLUSION:
PEARLS:
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