Soft tissue foreign body: Difference between revisions
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==Indications for Removal== | ==Background== | ||
==Clinical Presentation== | |||
==Differential Diagnosis== | |||
==Diagnosis== | |||
==Treatment== | |||
*antibiotics indicated for organic matter | |||
*do not extend hand wounds in ED | |||
===Indications for Removal=== | |||
*Potential for inflammation or infection | *Potential for inflammation or infection | ||
**Vegetative or chemically reactive material | **Vegetative or chemically reactive material | ||
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**Intravascular location | **Intravascular location | ||
**Migration toward important structures | **Migration toward important structures | ||
==Dispoition== | ==Dispoition== | ||
Revision as of 22:11, 19 April 2015
Background
Clinical Presentation
Differential Diagnosis
Diagnosis
Treatment
- antibiotics indicated for organic matter
- do not extend hand wounds in ED
Indications for Removal
- Potential for inflammation or infection
- Vegetative or chemically reactive material
- Heavy bacterial contamination (e.g. teeth, soil)
- Proximity to fractured bone
- Established infection
- Allergic reaction
- Toxicity
- Spines with venom
- Heavy metals
- Functional and cosmetic problems
- Impingement on nerves, vessels, tendons
- Restriction of joint mobility
- Proximity to tendons
- Impairment of gait
- Persistent pain
- Cosmetic deformity (e.g., tattooing)
- Psychological distress
- Potential for later injury
- Intra-articular location
- Intravascular location
- Migration toward important structures
Dispoition
- Ortho 1-2 days if not retrievable
Source
- Tintinalli