Diferencia entre revisiones de «Stingray injury»
Sin resumen de edición |
Sin resumen de edición |
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| Línea 9: | Línea 9: | ||
*Generally local pain | *Generally local pain | ||
*Systemic symptoms can include vomiting, hypotension, muscle cramps, paralysis, cardiac arrest | *Systemic symptoms can include vomiting, hypotension, muscle cramps, paralysis, cardiac arrest | ||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
| Línea 15: | Línea 14: | ||
==Workup== | ==Workup== | ||
*Consider x-ray for retained foreign body (stinger) | |||
==Management== | ==Management== | ||
| Línea 22: | Línea 22: | ||
*Clean area | *Clean area | ||
*Tetanus prophylaxis | *Tetanus prophylaxis | ||
*Prophylactic antibiotics = controversial | |||
==Disposition== | ==Disposition== | ||
*Home | |||
==See Also== | ==See Also== | ||
Revisión del 20:39 24 oct 2014
Background
Mechanism
- Punctures skin to introduce venom
- Generally local symptoms without systemic effects
Clinical Features
Symptoms
- Vary with species
- Generally local pain
- Systemic symptoms can include vomiting, hypotension, muscle cramps, paralysis, cardiac arrest
Differential Diagnosis
Marine toxins, envenomations, and bites
- Toxins
- Ciguatera
- Scombroid
- Tetrodotoxin (e.g. pufferfish)
- Shellfish poisoning
- Amnesic shellfish poisoning
- Diarrheal shellfish poisoning
- Neurotoxic shellfish poisoning
- Paralytic shellfish poisoning
- Stingers
- Venomous fish
- Cone shell
- Lionfish
- Sea urchins
- Crown-of-Thorns Starfish
- Stonefish
- Other: Catfish, zebrafish, scorpion fish
- Nematocysts
- Coral reef
- Fire coral
- Jellyfish (Cnidaria)
- Portuguese man-of-war
- Sea anemones
- Seabather's eruption
- Phylum porifera (sponges)
- Bites
- Infections
Workup
- Consider x-ray for retained foreign body (stinger)
Management
- Supportive
- If visible remove spines and stinger
- Immediately immerse wound in hot water (45°C for 30-90min)
- Clean area
- Tetanus prophylaxis
- Prophylactic antibiotics = controversial
Disposition
- Home
See Also
External Links
Sources
- Atkinson PRT. Is hot water immersion an effective treatment for marine envenomation? Emergency Medicine Journal. 2006;23(7):503–508. doi:10.1136/emj.2005.028456.