Question - 3 - vuyyuru

[ArchivalUser]

Q) A 29-year-old Caucasian male presents to the emergency department complaining of multiple lacerations after being attacked by a dog one hour prior to arrival. He states that he was jogging through an open field when the dog ran over to him and began to bite and scratch at his lower extremities, which caused the man to fall to the ground. According to the dog's owner, the dog has been vaccinated recently against rabies and became very territorial after birthing a litter of puppies last week. Animal control has retrieved the dog for observation. On physical examination, four prominent bite wounds are visible on the man's left calf, as are numerous lacerations on both the left and right calves. The bite wounds measure approximately 2 cm long, are bleeding freely, and contain some dirt and plant material. The man is uncertain about his childhood immunization history and says, "it has been at least fifteen years since I've gotten a shot." Once his wounds are properly cleaned, how should his condition be managed?

A. Adminsiter tetanus toxoid.
B. Administer tetanus immune globulin
C. Administer tetanus toxoid and tetanus immune globulin
D. Administer tetanus toxoid and prescribe amoxicillin/clavulanate
E. Administer tetanus toxoid and tetanus immune globulin and prescribe amoxicillin/clavulanate

[ArchivalUser]

tetanus toxoid and immneglobulin

[ArchivalUser]

Dirty wound + Fifteen years + Uncertain== "C"
@vuyyuru: Could you post the answers as well?

Thank you