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Adder bite with systemic features — DipIMC MCQ

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ModerateEnvironmental MedicineAdder bite with systemic featuresDipIMC

A 12-year-old is bitten on the ankle by a suspected adder. He has progressive swelling to the knee, vomiting, abdominal pain, pulse 128/min and feels faint. What is the most appropriate management?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: D — Immobilise the limb, provide supportive care and urgent transfer

Systemic symptoms after suspected adder bite require urgent hospital assessment, immobilisation and supportive care. Tourniquets, cutting and suction cause harm and do not improve venom outcomes. Antivenom decisions are hospital-based and guided by severity.

Reference: JRCALC Guidelines; UKHSA/TOXBASE envenomation principles