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<< Bites and Stings Snakes, Spiders, and Scorpions in the United States

Spiders: ED Evaluation

The initial evaluation of spider bites is no different than the other envenomations discussed in this issue. For Latrodectus bites, the bite site itself may have no local swelling or ecchymosis, but a complete physical exam with emphasis on the vital signs, cardiovascular, and neurological status of the victim is essential. Latrodectus victims can have severe autonomic dysfunction that needs to be immediately addressed. In Loxosceles victims, dermal changes around the bite site should be documented and marked for progression. Systemic symptoms of loxoscelism require aggressive supportive therapy.6,7,20,29-34

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Last Modified: 06/27/2017
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