Are there signs of envenomation? Swelling, tenderness, redness, ecchymosis, or blebs at bite site; elevated protime, decreased fibrinogen or platelets; systemic signs (hypotension, bleeding beyond puncture site, refractory vomiting, diarrhea, angioedema, neurotoxicity) |
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Are there indications for antivenom? Progressive swelling; elevated protime, decreased fibrinogen or platelets; any systemic signs |
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