A Complex Wound

A Complex Wound

A Complex Wound

A Complex Wound A Complex Wound

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Question 1 of 3

1. Question
Which of the following is a typical clinical finding of the most likely diagnosis?
- Pain on passive flexion of the affected finger
- Delayed capillary refill time
- Erythema and heat to the left hand
- Fixed flexion of the affected finger
- Surgical emphysema palpable over the affected finger
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Question 2 of 3

2. Question
What is the immediate management of this case?
- Wound cleaning, and discharge home on a course of antibiotics
- Wound exploration, IV antibiotics and admit medically
- IV antibiotics and early referral for surgical input
- Wound closure and discharge home with oral antibiotics
- Wound closure and discharge home with stronger analgesia
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Question 3 of 3

3. Question
When the patient asked about tetanus status, she states that she has completed her primary immunisation, however, it has been more than 15 years since her tetanus booster.

What is the wound management as per UK tetanus guidance?
- No need for any tetanus prophylaxis
- Give tetanus vaccine but no need for any IVIG
- Both the tetanus vaccine and IVIG should be given
- Only IVIG to be given and no need for a tetanus vaccine
- Repeat primary immunisation course as >10 years since it was given
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