TY - CHAP M1 - Book, Section TI - Envenomation A1 - Cho, Christine S. A1 - Osterhoudt, Kevin C. A2 - Zaoutis, Lisa B. A2 - Chiang, Vincent W. PY - 2017 T2 - Comprehensive Pediatric Hospital Medicine, 2e AB - Bites and envenomations account for 3% of phone calls to poison control centers.1 In North America, venomous animals vary by specific region and include varied terrestrial vertebrates and invertebrates. Venomous bites are of particular concern in the pediatric population, with the highest morbidity and mortality occurring in smaller patients. Diagnosis and management strategies for envenomation vary according to the type of animal, specific toxic properties of the venom, location of the bite, time elapsed since exposure, appearance of the wound, systemic symptoms, size of the child, and history and physical examination findings (Table 176-1). It is important to keep in mind that unwitnessed bites can occur in younger children. This chapter specifically addresses the presentation and management of common snake bites, as well as black widow and brown recluse spider bites. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/19 UR - accesspediatrics.mhmedical.com/content.aspx?aid=1146124286 ER -