A 26-Year-Old Man Comes to the Emergency Department with Left

question 638

Multiple Choice

A 26-year-old man comes to the emergency department with left ankle pain.  He reports that he was playing golf, went to look for his ball in some tall grass, heard rattling, and then felt a sharp pain just above his left ankle 30 minutes ago.  On examination, vital signs are normal.  Two puncture marks are present just above his left lateral malleolus.  There is mild edema, tenderness, and ecchymosis immediately surrounding the bite.  Swelling to the rest of the lower leg is absent.  Pulses and sensation in the left leg are intact.  Laboratory studies reveal normal complete blood count, serum electrolytes, and coagulation panel.  Repeat physical examination in 30 minutes reveals no interval change.  Which of the following is the most appropriate course of action for this patient?

• A)Closely observe patient in the hospital for 12-24 hours with repeat laboratory testing
• B)Closely observe patient in the hospital after administering Crotalidae polyvalent immune Fab
• C)Discharge patient to home now with instructions to return if symptoms get worse
• D)Discharge patient to home after administering Crotalidae polyvalent immune Fab

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Definitions:

Turnover

Refers to the total sales generated by a company during a specific period.

ROI

Return on Investment; a financial metric used to evaluate the efficiency of an investment or compare the efficiency of several investments.

Return On Investment

Return on investment (ROI) is a financial metric used to evaluate the efficiency of an investment, calculated as the net profit divided by the cost of the investment.

ROI

Return on Investment is a performance measure used to evaluate the efficiency or profitability of an investment relative to its cost.