Puncture wound- Fork in the heel
15 year old female patient after stepping on a fork while supposedly walking barefoot at home. A puncture wound must be cleaned properly and monitored throughout the healing process to avoid complications. The type and cleanliness of the penetrating object also determine the severity of the wound. Larger or longer objects can penetrate deeper into the tissues, possibly causing more damage. The dirtier an object, such as a rusty nail, the more dirt and debris are dragged into the wound, increasing the chance of infection. The surgeon will make sure the wound is properly cleaned and no foreign body remains. He or she may numb the area, thoroughly clean inside and outside the wound, and monitor the progress. In some cases, x-rays may be ordered to determine whether something remains in the wound or if bone damage has occurred. Antibiotics may be prescribed if necessary.
Source: https://www.instagram.com/p/CcFuBI7K8g8/?igshid=YmMyMTA2M2Y=Interesting case. Would you also screen for child abuse? The angle of entry just doesn't seem to make sense for walking barefoot
