Funnel-web spider — RACP Paediatrics MCQ

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HardEmergencyFunnel-web spiderRACP Paediatrics

A 2-year-old in rural NSW is bitten by a large black spider. Profuse sweating, salivation, fasciculations, hypertension. What is the envenomation and treatment?

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Correct answer: D — Funnel-web spider bite

Large black spider + autonomic features (sweating, fasciculations, hypertension) = funnel-web spider. PIB, then antivenom ASAP. Multiple vials may be needed. Children especially susceptible.

Reference: RCH Melbourne – 2023; Australian Therapeutic Guidelines – 2024