91. A Bite to the Leg in Tall Grass

  1. Christopher P. Holstege MD2,3,4,
  2. Alexander B. Baer MD2,5,
  3. Jesse M. Pines MD, MBA, MSCE6,7 and
  4. William J. Brady MD8,9,10
  1. Alejandro C. Stella MD1 and
  2. Christopher P. Holstege MD2,3,4

Published Online: 3 AUG 2011

DOI: 10.1002/9781444397994.ch91

Visual Diagnosis in Emergency and Critical Care Medicine, Second Edition

Visual Diagnosis in Emergency and Critical Care Medicine, Second Edition

How to Cite

Stella, A. C. and Holstege, C. P. (2011) A Bite to the Leg in Tall Grass, in Visual Diagnosis in Emergency and Critical Care Medicine, Second Edition (eds C. P. Holstege, A. B. Baer, J. M. Pines and W. J. Brady), Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781444397994.ch91

Editor Information

  1. 2

    Division of Medical Toxicology, University of Virginia School of Medicine, Charlottesville, VA, USA

  2. 3

    Blue Ridge Poison Center, University of Virginia School of Medicine, Charlottesville, VA, USA

  3. 4

    Departments of Emergency Medicine & Pediatrics, University of Virginia School of Medicine, Charlottesville, VA, USA

  4. 5

    Department of Emergency Medicine, University of Virginia School of Medicine, Charlottesville, VA, USA

  5. 6

    Center for Health Care Quality, George Washington University, Washington, DC, USA

  6. 7

    Departments of Emergency Medicine and Health Policy, George Washington University, Washington, DC, USA

  7. 8

    Department of Emergency Medicine, University of Virginia, Charlottesville, VA, USA

  8. 9

    Center for Emergency Management, University of Virginia Health System, Charlottesville, VA, USA

  9. 10

    Charlottesville-Albemarle Rescue Squad & Albemarle County, Fire Rescue, Charlottesville, VA, USA

Author Information

  1. 1

    Department of Emergency Medicine, University of Rochester, Rochester, NY, USA

  2. 2

    Division of Medical Toxicology, University of Virginia School of Medicine, Charlottesville, VA, USA

  3. 3

    Blue Ridge Poison Center, University of Virginia School of Medicine, Charlottesville, VA, USA

  4. 4

    Departments of Emergency Medicine & Pediatrics, University of Virginia School of Medicine, Charlottesville, VA, USA

Publication History

  1. Published Online: 3 AUG 2011
  2. Published Print: 12 AUG 2011

ISBN Information

Print ISBN: 9781444333473

Online ISBN: 9781444397994

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Keywords:

  • Case 91, a bite in the leg - in the tall grass;
  • 22-year-old male, with complaints - of a copperhead snake, biting his leg 1 hour before;
  • denial, of significant pain, other than mild discomfort - fangs, breaking the skin;
  • no nausea or vomiting;
  • examination of envenomation site - with fang puncture wounds;
  • no tenderness, on palpation of leg - leg compartments soft;
  • ambulating without difficulty - full range of motion of legs;
  • appropriate treatment in this case