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Phys Clinical Casespharmacological

Phys Clinical Cases · pharmacological

Australian Envenomation — Clinical Case

DCE long case for Australian snake bite envenomation: a 42-year-old farmer in rural Victoria bitten by a brown snake, presenting with venom-induced consumption coagulopathy (VICC), early thrombotic microangiopathy and cardiovascular compromise. Full patient assessment, SASPOP opening, structured problem list, integrated management plan (pressure immobilisation bandage management, monovalent antivenom selection and dosing, VICC versus DIC distinction, FFP role, TMA and AKI management, avoidance of invasive procedures during coagulopathy), and probing examiner questions.

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FRACP DCEMRCP PACES
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Target exams

FRACP DCEMRCP PACES
Prompt
DCE long case for Australian snake bite envenomation: a 42-year-old farmer in rural Victoria bitten by a brown snake, presenting with venom-induced consumption coagulopathy (VICC), early thrombotic microangiopathy and cardiovascular compromise. Full patient assessment, SASPOP opening, structured problem list, integrated management plan (pressure immobilisation bandage management, monovalent antivenom selection and dosing, VICC versus DIC distinction, FFP role, TMA and AKI management, avoidance of invasive procedures during coagulopathy), and probing examiner questions.

Australian Envenomation — Clinical Case

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References7ShowHide
  1. [1]Johnston CI, Ryan NM, Page CB, et al. The Australian Snakebite Project, 2005-2015 (ASP-20) Med J Aust, 2017.PMID 28764620
  2. [2]Allen GE, Brown SG, Buckley NA, et al. Clinical effects and antivenom dosing in brown snake (Pseudonaja spp.) envenoming--Australian snakebite project (ASP-14) PLoS One, 2012.PMID 23300888
  3. [3]Isbister GK, Little M, Cull G, et al. Thrombotic microangiopathy from Australian brown snake (Pseudonaja) envenoming Intern Med J, 2007.PMID 17640187
  4. [4]Isbister GK Snakebite doesn't cause disseminated intravascular coagulation: coagulopathy and thrombotic microangiopathy in snake envenoming Semin Thromb Hemost, 2010.PMID 20614396
  5. [5]Isbister GK, Buckley NA, Page CB, et al. A randomized controlled trial of fresh frozen plasma for treating venom-induced consumption coagulopathy in cases of Australian snakebite (ASP-18) J Thromb Haemost, 2013.PMID 23565941
  6. [6]Pearn JH, Morrison JJ, Charles NT First aid in snake bite; comment on mock venom Med J Aust, 1982.PMID 7121362
  7. [7]Premawardhena AP, de Silva CE, Fonseka MM, et al. Low dose subcutaneous adrenaline to prevent acute adverse reactions to antivenom serum in people bitten by snakes: randomised, placebo controlled trial BMJ, 1999.PMID 10205101
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