Bite Wound

HISTORY:

‍CatDogHuman bite wound ‍ ‍days ago

Location: ‍rightleft ‍ ‍hand

Mechanism: ‍, ‍unprovokedprovoked

Treatments tried: ‍none, ‍effectiveineffective

‍pain

‍redness

‍swelling

‍discharge

‍fever, up to ‍°, over ‍ ‍hoursdays

‍chills

‍difficulty moving the affected area

Occupation: ‍

Work-related injury: ‍yesno

Tetanus vaccination: ‍up-to-dateincompleteunvaccinated



EXAM:

General appearance: ‍well-appearing

Vital signs: ‍normal, BP ‍, HR ‍, RR ‍, SpO2 ‍ %, Temp ‍°

Skin: ‍no rash



ASSESSMENT:

Bite wound from ‍dog, ‍infectednot infected ‍likelysuspectedpossible

DDx: ‍



PLAN:

- Wound culture

- X-ray if bone injury or foreign body suspected

- Blood work: ‍CBC, ‍CRP

- Wound cleaning and irrigation

- No wound closure except for facial wounds

- Wound dressing

- ‍Analgesics

- ‍Antibiotics

- ‍Rabies prophylaxis

- Tetanus vaccination

- Education on bite wound prevention

- Referral to plastic surgeon

- Follow-up in ‍ ‍daysweeks

- Return if symptoms worsen or if new symptoms develop such as redness, swelling, pus, or fever