Stingray injury: Difference between revisions

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*Symptoms can vary by species
*Symptoms can vary by species
*Associated with puncture or jagged laceration
*Associated with puncture or jagged laceration
*Local pain, irritation, erythema
*Local pain, irritation, [[rash|erythema]]
*Systemic symptoms can include vomiting, muscle cramps, hypotension, paralysis, cardiac arrest
*Systemic symptoms can include [[vomiting]], muscle cramps, [[hypotension]], [[weakness|paralysis]], [[cardiac arrest]]


==Differential Diagnosis==
==Differential Diagnosis==
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*XR for evaluation of foreign bodies
*XR for evaluation of foreign bodies
*[[Tetanus prophylaxis]]
*[[Tetanus prophylaxis]]
*Prophylactic [[antibiotics]] are controversial - if used, give [[Ciprofloxacin]] to cover ''[[Vibrio vulnificus]]''
*Prophylactic [[antibiotics]] are controversial - if used, give [[ciprofloxacin]] to cover ''[[Vibrio vulnificus]]''


==Disposition==
==Disposition==

Revision as of 22:02, 28 September 2019

Background

  • Stinger punctures skin to introduce heat-labile venom
  • Generally causes local symptoms without systemic effects
  • Often occurs when swimmers accidentally step on stingray in shallow water. Can be avoided by shuffling feet along bottom.
Common stingray (Dasyatis pastinaca)
A stingray's stinger (ruler in cm)

Clinical Features

Differential Diagnosis

Marine toxins, envenomations, and bites

Evaluation

  • Clinical diagnosis
  • Consider x-ray to evaluate for retained foreign body (stinger)

Management

Disposition

  • Discharge

See Also

External Links

References

  1. 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.