Case 331 Medical history A 45-year-old male patient, previously healthy, had a sickle accident in the rural area 40 minutes ago. Search Basic Health Unit with left index finger injury (photo). Image 1: Photograph of left index finger after trauma. Question:Regarding the most appropriate approach for the patient, it is INCORRECT to state: In the case of a tetanus-ignored vaccination regimen, tetanus vaccine and immunoglobulin are required. The case can be conducted in the basic health unit with wound washing and dressing with the use of gauze soaked in saline solution. ) In these cases of deep laceration, one of the alternatives for treatment is partial skin grafting. The fact that the lesion occurred in rural areas is decisive in the choice of antibiotic. Test Question (MEDICAL ASSOCIATION OF RIO GRANDE DO SUL - 2015) While working on a lettuce plantation, a 36-year-old man suffers an accident with extensive wounds, exposing a fracture of the distal end of the tibia. At the physical examination, there is great bleeding in the area of the wound, but with good perfusion of the toes. Question:Which of the following antibiotic regimens is most appropriate in this situation? Cefazoline and gentamicin. Cefazoline and vancomycin Cefazoline and penicillin. Cefazoline, gentamicin and penicillin. Amikacin and vancomycin. Time is Up! Time's up
