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Table 2 Typical symptoms and laboratory data to be evaluated

From: Venomous snake bites: clinical diagnosis and treatment

  Mamushi Habu Yamakagashi
Typical symptoms Local pain, swelling, severely decreased platelet counta, diplopia, blurred vision, nauseab, vomitingb, stomachacheb, diarrheab, cyanosisb Local swelling, necrosis, bleeding at the bite site, vomitingb, cyanosisb, loss of consciousnessb, hypotensionb, compartment syndrome Nasal bleeding, gum bleeding, bleeding from the bite site, headacheb
Laboratory data to be evaluated routinely CBC, CK, BUN, Cre, Na, K, Cl, Fibrinogen, FDP, d-dimer, PT, APTT
Typical laboratory findings CK↑   FDP >100 μg/mL
Plt <10,000/μLa Fibrinogen <100 mg/dL
Laboratory data to be evaluated additionally Myoglobin, CK-MB Myoglobin AT-III, TAT, PIC
  1. CBC complete blood count, Plt platelet count, CK creatine kinase, BUN blood urea nitrogen, Cre creatinine, FDP fibrinogen degradation products, PT prothrombin time, APTT activated partial thromboplastin time AT-III antithrombin III, TAT thrombin-antithrombin III complex, PIC plasmin-α2-plasmin inhibitor complex.
  2. aVenom is injected into the blood vessel directly.
  3. bIn severe cases.