Musings of a Dinosaur

A Family Doctor in solo private practice; I may be going the way of the dinosaur, but I'm not dead yet.

Thursday, June 21, 2007

Snake Bite Pix

Look in the dictionary under "generous" and you will see a picture of my patient who was bitten by the copperhead snake.

Of course the story was blogged with her permission, but when she saw the reader comments asking about pictures, look what she sent me: (with permission to post them too)

[Reassurance: none nearly as gross as the pictures in the eMedicine Snakebite link from the previous post.]

The two large purple dots are the fang marks. You can see two smaller, fainter dots more distally (to the left in the picture) that are closer together; these are from the snake's bottom teeth.
The level of the swelling was recorded with purple marker on the skin.

From the patient: "These pictures were taken early in the afternoon [the day after the bite.] By that night the swelling had moved above my kneecap." (Just compare her foot and ankle to get an idea.)

Hard to see the redness, but that's what this is showing along with the swelling. Not hard to imagine how much it must have hurt.

This is her calf and popliteal fossa area. By comparing the color to the skin of her arm, you can see how green it is.


At Thu Jun 21, 09:57:00 PM, Blogger Dr. A said...

Interesting case and great pics!

At Fri Jun 22, 12:04:00 AM, Blogger Judy said...

It was very generous of her to share the pictures -- and especially to give permission so we could see them.

At Fri Jun 22, 01:47:00 AM, Blogger D.P. said...

Ewwwww! And tell your generous patient that she should blog . . . ;o)

New blog up and running . . .btw

At Fri Jun 22, 06:35:00 AM, Blogger Sara said...

Wow! Thank you to her and I hope it heals quick! She must be a great lady to be so nice!

At Fri Jun 22, 11:14:00 AM, Anonymous Anonymous said...

There was a study done with 400 copperhead envenomation cases that showed on average bite victims lost 44 days of work. Also, local tissue injury left untreated can often times result in permanent loss of function and/or chronic pain. Newer antivenom is very often used in mild bites and copperhead bites due to its safety profile.

At Fri Jun 22, 11:27:00 AM, Blogger Bookhorde said...

That looks very painful. I hope she gets better soon.

At Fri Jun 22, 11:58:00 PM, Anonymous Anonymous said...

I hope she heals well, too! How long does it take for that to heal?

At Mon Jun 25, 10:58:00 PM, Blogger Lynn Price said...

Bless her heart for sharing! I have some dramatic photos of a poor soul bitten by a fer de lance when I was with a medical team in the Peruvian jungle. Now THAT was gross.

At Tue Jun 23, 11:00:00 PM, Anonymous Anonymous said...

My daughter just got bit yesterday In Salem Missouri in almost the exact same spot on the foot. She said the paid was awful and it's doing the same thing. Did she take the anti venom?


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