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70 % of snakes in Palestine are non venomous .
Males are bitten almost twice as often as females.
Most common snake her in Palestine is Vipera
No available data about number of snake bites her in
Test dose of ASV is not essential because even if victim
is sensitive to ASV, does not preclude its use.
A 55 year old male, came to the ER on 1772013 at 1
Snake bite in the morning at 9 am.
Bleeding from the site of bite till now
Present history: According to the patient he was
alright before he was suddenly bitten while he was
walking in the garden . The escaped snake was about
long & brownish in color. The patient,
went home & only bandaged the wound. In a few
hours the pain got intense & the bleeding didn’t stop
from the wound. There was difficulty in walking
associated with the pain & he felt numbness in the
There are no associated features of hematomesis,
melena, epistaxis or vomiting , haemoptisis .
There was no history of bleeding disorders among the
Angiography & angioplasty: 5yrs ago.
Personal hx: appetite-N, micturation-N
Drug hx: none.
Family hx: not significant.
Patient looks ill, but conscious in time/place/person.
Vitals: Bp-110/63, pulse-96 bpm, R/R: 21/min O2 sat :
96 temp : 37.1
General impression: swelling on left leg from the foot to
CNS- sensory was bilaterally equal, but slightly
decreased at the lateral side of the left foot and leg .
Tone, power & reflexes were bilaterally equal & normal.
Abdomen- firm, non tender, relax, no vissibel venes .
Cvs- s1 + s2, no murmurs
Resp- Normal vesicular breathing, no additional sounds
No skin rash