Stingray injury: Difference between revisions

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No edit summary
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*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==
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==Workup==
==Workup==
*Consider x-ray for retained foreign body (stinger)


==Management==
==Management==
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*Clean area
*Clean area
*Tetanus prophylaxis
*Tetanus prophylaxis
*Prophylactic antibiotics = controversial


==Disposition==
==Disposition==
*Home


==See Also==
==See Also==

Revision as of 20:39, 24 October 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

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.