VizD Image Challenge Week of 4/23/2007
A 33-year-old woman presents to your Emergency Department for a painful and itchy area on her right leg (as seen in image below). Earlier in the day she was swimming in the ocean.
(click on image to enlarge)
Questions:2. Name three treatments for this condition?
3. True or False: This condition can lead to cardiovascular collapse?
Winner receives $5.
To submit your answer please click on "comments" below.
For more information about the contest, click here.
VizD is a weekly contest of an interesting or pathognomonic image from emergency medicine. Its goal is to integrate learning into a fun and relaxed environment. All images are original and are posted with the consent of the patient. For more information please refer to the following link.
4 comments:
1. jellyfish sting
2. opiates for pain, anaphylaxis treatment if required; antivenom; antihistamines for pruritis; 2 week taper of glucocorticoids to prevent delayed recurrent reaction
3. yes
I'm just a medical assistant, and I love reading medical blogs throughout the day. Figured I'd atleast give this a shot....
1) Seabather's Eruption
2)Do not rub skin, take antihistamine, apply hydrocortisone cream, shower with fresh water and apply soap, remove swim-suit asap, use ice pack to relieve pain, keep rash clean.
3) False
1. What is the cause of this patient's presentation?
-The patient was stung by a jellyfish
2. Name three treatments for this condition?
- Wash injury with either seawater, vinegar, or isopropyl alcohol. Remove tentacles with tweezers. Remove remaining nematocysts by shaving the area. Apply hydrocortizone cream 2-3 times a day. In severe cases, antivenin and airway support may be required (anaphylactic shock).
3. True or False: This condition can lead to cardiovascular collapse?
Answer by Zach at AMC
-True.
I won last time on a skin problem, so may as well try another....
1. Jellyfish sting
2. For skin reactions without other symptoms of a more severe reaction: Rinse wound with normal saline then soak in acetic acid or isopropyl alcohol; antihistamines; cold compresses.
3. Yes, but only species found in the South Pacific
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