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Dermatology 4

A 25-year-old man presents to the emergency department after being stranded in a snowstorm for several hours. He reports numbness and a tingling sensation in his fingers and toes. His temperature is 36.1°C (96.9°°F), pulse is 55/min, respirations are 18/min, and blood pressure is 115/70 mm Hg. On physical examination, his fingers and toes appear pale and cold to touch. There are no signs of blistering or necrosis. Sensation to touch is absent over the fingers bilaterally. Radial pulses are intact bilaterally though they are somewhat faint. Tetanus toxoid is administered.

Which of the following is the most appropriate initial management for this patient?

  • A) Administration of intravenous antibiotics
  • B) Application of dry heat packs to the affected areas
  • C) Immediate surgical debridement
  • D) Immersion of the affected areas in warm water
  • E) Observation without intervention


Lloyd Taylor


Dr. Ted O'Connell

Last updated

Jun 06, 2024

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