Case 1 of 8InfectiousMultisystem (e.g., Lyme disease, HIV)
A 7-year-old boy is bit by a dog on his Right thigh and calf after he was trying to hit it with a stick. The dog is unknown to the child. The child is brought into the ER by his parents.
Question 1 of 27
What would be the first line of treatment of this patient's wounds?
Select 1. (0 / 1 selected)
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ARabies vaccine series alone, without local wound care or rabies immunoglobulin
BImmediate irrigation of the wound with soap and running water for at least 15 minutes, followed by tetanus assessment, rabies post-exposure prophylaxis (vaccine plus rabies immunoglobulin, since the dog is unknown/untraceable), and antibiotic prophylaxis (e.g., amoxicillin-clavulanate)
CTetanus toxoid booster alone, since the wound appears superficial
DPrimary surgical closure of the wound to minimize scarring, followed by a course of oral antibiotics
EObservation and delayed treatment, reserving wound care and antibiotics only if signs of infection develop
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