Porcupine quills

a 12yrs male child had history of hitting porcupine to bicycle which made Animal to embed 2 quills in lt calf region Patient complaining of pain only what will be the future management, treatment and investigations for the same

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reducing your physical activity.very gently stretching and later strengthening your calf muscles.switching to a different, less strenuous sport.icing the area after exercise or when in pain.elevating your foot to decrease any swelling.wearing a brace or walking boot to prevent heel movement.
Remove porcupine quills by carefully pulling them.It is difficult to know whether Porcupine was bitten by dogs or other rabies carrying animals, it is better to give anti rabies vaccine like Rabipur, give antibiotics and pain killer and tetanus toxoid.
Thank you doctor
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Pain management Antibiotic if there is infection - if there is erythema, redness, swelling, pain, fever No other special treatment
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Remove the quills and keep under observation for 24hrs for symptomatic treatment
Remove quills surgically Wound management Better advice for ARV
Symptomatic Treatment, and remove quills.
Symptomatic treatment
Thank you doctor
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