Wound Management and Controversies of Dog Bites to the Face – Clinical Patient Case of the Week

Andrea Eberly, MD, MS, FAAEMClinical Pearls, Emergency Medicine, Family Medicine, Guideline Knowledge Check, Internal Medicine, Nurse Practitioner, Nursing RN/PN, Pediatric Emergency Medicine, Pediatric Medicine, Physician Assistant, Urgent Care

Wound Management and Controversies of Dog Bites to the Face - Clinical Patient Case of the Week

Wound Management and Controversies of Dog Bites to the Face - Clinical Patient Case of the Week

Try this free dog bites to the face wound management patient case Q&A courtesy of Med-Challenger.

This week's clinical patient case Q&A involves wound managment.  The patient case comes from Med-Challenger's library of board exam review and CME question banks. For more free clinical knowledge review questions, subscribe to the Med-Challenger Medical Education Blog

Try this case and test your knowledge of wound management of dog bites to the face.

A 6-year-old girl was playing with the family dog when it bit her face 1 hour prior to her presentation.

The dog’s immunizations are up to date. It is currently at home.

The patient’s past medical history is unremarkable.

Her immunizations are also up to date.

Evaluation reveals an irregular wound at the right cheek.

The wound is not deep but the wound edges are gaping.

Wound exploration does not reveal any foreign body such as tooth fragments.

Question:

What is the most appropriate management for this wound?

Answer Options:

Irrigate the wound, then allow it to heal by secondary intention.

Irrigate, then suture the wound with 6.0 nonabsorbable material and prescribe amoxicillin/clavulanate

Irrigate thoroughly, then suture the wound; antibiotics are not needed for facial dog bites in children

Administer rabies postexposure antibiotic prophylaxis.

See the Answer:

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