som
Forum Guru
Topics: 59
Posts: 308
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A 35-year old man received a deep laceration with old rusted barbed wire while he was walking in the field. He was taken to local hospital. On examination there is 6cm(2.3in) long laceration on lateral aspect of leg, contaminated with dirt and soil. The laceration is bleeding profusely. He received 3 doses of tetanus immunization, when he was 23. What is the most appropriate next step in this patient?
A. Clean the wound only
B. Administer tetanus toxoid
C. Administer tetanus immune globulin
D. Administer tetanus toxoid and immune globulin
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| GDS2008
Forum Elite
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Posts: 144
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D. Dirty wound + more than 10 years since the last dose
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| veens
Forum Junior
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Posts: 64
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c....tt only,he has got 3 doses previously no need of tig
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| frank100
Forum Guru
Topics: 48
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he has had 3 or more previous doses of tetanus toxoid. even though thatīs a serious wound, to administed tetanus toxoid would be enough. since tetanus immunoglobulin is used until the clinical diagnosis of tetanus is made, choice (d) is unlikely as well as (c), and choice (a) would be the answer if they add TETANUS TOXOID.
for me the answer is (b)
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| veens
Forum Junior
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sorry its b , by mistake i have put it as c
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| GDS2008
Forum Elite
Topics: 9
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I am sorry -- i meant "B" as well
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| som
Forum Guru
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Posts: 308
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yup ans is B
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| 2002tii
Forum Senior
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Posts: 80
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See attachment for CDC recommendations
Attached Files:
tetanus.JPG (13 KB, 16 downloads)
Edited by 2002tii on 08/04/06 - 09:29 AM
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