big black spider…

The Case.

A sunny Saturday morning in Sydney and your 56 year old patient was just outside doing some gardening when they feel a rather sharp bite on their right hand (on webspace between thumb and index finger).

He arrives to the ED distressed and very anxious. His vitals signs are normal and he has localised pain only.

He then hands you this saying “this is the bugger that bit me !!”  …..

  

Where do you go from here ??

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