Bite Wound History

Injury & Poisoning, Subjective/History Elements
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Bite Wound
Onset [text] prior to evaluation
Onset while: [text]
Injury at [text]

Source of bite: [text]
Provoked by: [text]
Animal appearance: [text]
Animal immunization status: [text]
Animal is now at [text] and can [text] be observed for 10 days

Prior to injury, wound site covered with (e.g. clothing) [text]
After the injury, prior to arrival, wound was cleaned with [text]

Pitfall evaluation:
[select value="no|YES"] <-- suspected foreign body
[select value="no|YES"] <-- wound contamination
[select value="no|YES"] <-- distal numbness
[select value="no|YES"] <-- distal weakness
[select value="no|YES"] <-- distal cold sensation, pallor, or cyanosis
[select value="no|YES"] <-- continuous bleeding despite applied pressure
[select value="no|YES"] <-- fever
[select value="no|YES"] <-- wound discharge
[select value="no|YES"] <-- local redness

Pertinent PMH:
Last Tetanus vaccine: [text]
[select value="no|YES"] <-- Diabetes Mellitus
[select value="no|YES"] <-- Peripheral Vascular disease
[html]<hr>[/html][checkbox memo="display/hide references" name="footnotes" value=""][conditional field="footnotes" condition="(footnotes).is('')"][html]
reference: contributed by Dr. Scott Moses, creator/author of the <a href="http://www.fpnotebook.com" target="_blank">Family Practice Notebook</a>[/html][/conditional]
Bite Wound
Onset prior to evaluation
Onset while:
Injury at

Source of bite:
Provoked by:
Animal appearance:
Animal immunization status:
Animal is now at and can be observed for 10 days

Prior to injury, wound site covered with (e.g. clothing)
After the injury, prior to arrival, wound was cleaned with

Pitfall evaluation:
<-- suspected foreign body
<-- wound contamination
<-- distal numbness
<-- distal weakness
<-- distal cold sensation, pallor, or cyanosis
<-- continuous bleeding despite applied pressure
<-- fever
<-- wound discharge
<-- local redness

Pertinent PMH:
Last Tetanus vaccine:
<-- Diabetes Mellitus
<-- Peripheral Vascular disease

display/hide references
Result - Copy and paste this output:

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