MDM //

Patient with possible latrodectus envenomation to dominant hand_ several hours prior. Now with constellation of symptoms, potentially consistent with mild envenomation including diffuse pain in extremity. Hand with possible area of early cellulitis but no frank abscess formation. Will treat with doxy given allergy profile after conversation with pharmacist. Area of inoculation without local diaphoresis. No overt evidence of necrosis or abscess. No cardiothoracic symptoms, no peritoneal signs. At this time, will trial pain control and muscle relaxants. Will continue to monitor and will hold antivenom at this time. TDAP up to date.



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