Author: Hassan Nassar / Editor: Sarah Edwards / Codes: DP2, MuP2, PC1, PC3, SLO1, SLO2, TC6 / Published: 08/12/2021
A 29-year-old farmer presents to your local Emergency Department (ED) with a bite mark over the upper left calf. He is physiologically stable with a NEWS of 0.
He felt a sharp bite while working on his farm 4 hours before presentation. He noticed a spotted brownish small spider over the bite site that he managed to get off his leg. Over the next couple of hours, the bite site has started to get more painful and swollen.
He mainly presents to the ED to get the bite site checked and get an anti-venom in case the situation necessitates that.
On examination, he is generally well and reports improvement of his pain after Ibuprofen given to him at the triage. The bite site shows a two-fang bite mark surrounded by redness and swelling and was tender on palpation.
Module Content
Rashes - PEM Induction
Rashes are difficult to diagnose in both children and adults. The key is to be able to identify the important types (anaphylaxis urticaria, meningitis, non-accidental injury), and then manage to learn about the rest slowly
Zygomatic Complex and Nasal Injury
Anyone who has ever worked in an ED on a Friday night knows that facial injuries are a common presentation
Common Childhood Exanthems
Children commonly present to the emergency department with a febrile illness and a rash
4 Comments
Well summarised
Thank you.I was aware of the treatment of bites but did not know there was so many different spiders
Interesting thanks, nice to have something a bit weird and wonderful covered
Great resources, thank you