MedBugs: SAQ #127

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Case: Dog bite hand

A 29-year-old woman presents after sustaining a dog bite to her non-dominant hand, 3 hours prior. She is a masseuse by trade. She has no signiﬁcant past medical history, is on no medications and has no allergies.

1. Give (3) relevant ﬁndings seen on the above image, providing a minimum of (2) positive ﬁndings. 3 marks

2. What is the (1) most important investigation? Provide justification for your answer 1 mark

3. List (4) priorities of your management of this patient 4 marks

4. Give (3) findings on examination or investigation which would require urgent referral to inpatient surgical service. 2 marks

5. There are no indications for inpatient management, so you discharge the patient on oral antibiotics. Prescribe the drug, dose and duration. 1 mark

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