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  #1  
Old 08-09-2011
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Question Boy bit the hand of his brother!

A mother calls you on the telephone and says that her 4-year-old son bit the hand of her 2-year-old son 2 days previously. The area around the injury has become red, indurated, and swollen, and he has a temperature of 39.4C (103F). Which of the following is the most appropriate response?

a. Arrange for a plastic surgery consultation at the next available appointment
b. Admit the child to the hospital immediately for surgical debridement and antibiotic treatment
c. Prescribe penicillin over the telephone and have the mother apply warm soaks for 15 min four times a day
d. Suggest purchase of bacitracin ointment to apply to the lesion three times a day
e. See the patient in the emergency room to suture the laceration
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  #2  
Old 08-09-2011
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b. Admit the child to the hospital immediately for surgical debridement and antibiotic treatment
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  #3  
Old 08-09-2011
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I think it's c.

b sounds way to extreme. Surgery? There's no proof that there's any debris in there to take out.
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Old 08-10-2011
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i think the ans is B because you should see it before prescribing something!
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Old 08-10-2011
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B) Please correct me if i am wrong : )
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Old 08-10-2011
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May we have the answer pleasseee
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Old 08-10-2011
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Shouldn't it be E?
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Old 08-10-2011
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C) ?!?!? answer please !
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Old 08-10-2011
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Default c

c??
answer plz
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Old 08-10-2011
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B) As it is a case of human bite, bacterial contamination is very high, requires irrigation, debridement and antibiotic therapy.
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Old 08-10-2011
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Quote:
Originally Posted by Hope2Pass View Post
Shouldn't it be E?
Hello It is a dirty wound and should not be sutured at least not immediately
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  #12  
Old 08-10-2011
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B,

E can't be becausee it was 2 days ago, you have 3-6 hours to suture the wound, you can't do it after that...

others are wrong because u shouldn't prescribe through a phone call, you need to see the patient...
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Old 08-11-2011
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my answer is D
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whats the answer ?
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Default b

i think B...
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  #16  
Old 08-11-2011
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b is the answer
u cant suture wounds after 12 hrs
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  #17  
Old 08-12-2011
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i think this question is for step2ck. . .
but still my answer is C. . .
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Old 08-12-2011
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Default B

I think its B....
I dont think you can prescribe anything over phone to the patient without seeing the patient. Hearing patients sysmptoms on phone isnt enough.
The best thing to do is to bring the patient to emergency where he can be examined and treated rightly.
So its B
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Old 08-12-2011
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i would go wid B).Admit the child to the hospital immediately for surgical debridement and antibiotic treatment
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  #20  
Old 08-14-2011
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the correct answer is b; Admit the child to the hospital immediately for surgical debridement and antibiotic treatment

Human bites can pose a significant problem. They can become infected with oropharyngeal bacteria, including Staphylococcus aureus, viridans streptococci, Bacteroides spp., and anaerobes. A patient with an infected human bite of the hand requires hospitalization for appropriate drainage procedures, Gram stain and culture of the exudate, vigorous cleaning, debridement, and appropriate antibiotics. The wound should be left open and allowed to heal by secondary intention (healing by granulation tissue rather than closure with sutures
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