Lightning Strike Injury

The case scenario features high risk clinical features associated with a lightning strike. List two other high risk clinical features not mentioned in the case scenario (0.5 marks for each correct high risk feature; maximum 1 mark).

On examination, you notice a patterned skin condition on the upper anterior left side of your patient’s chest, which she reports as having appeared after being struck by lightning.

What is the name of this skin condition (0.5 marks) and how did it occur? (0.5 marks for naming the skin condition; 0.5 marks for describing the mechanism of its occurrence; maximum 1 mark)

Your patient appears clinically well on review.
List two investigations that you would perform in the Emergency Department for this patient and explain what you would be investigating for, specific to lightning injuries (0.5 marks for each correct answer, maximum 1 mark)