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A 36-year-male was using a high-pressure paint gun when he suffered the injury shown in Figure A. Which of the following variables would have the worst impact on his prognosis?
Delay in surgical treatment
Injected solvent was grease
Injected solvent was water-based paint
An entry wound of greater than 3 cm
Injected solvent was at room temperature
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A 42-year-old male diesel mechanic presents to your clinic 3 days after he was power washing automotive parts with a high-pressure solvent and accidently hit the tip of his finger with the spray gun. A clinical photo is shown in Figure A. What is the most appropriate first line of treatment?
Irrigation and debridement at the bedside using a digital block
Immediate debridement in the operating room
A dose of IV antibiotics in the ER, followed by a 10 day oral course
Immediate finger tip amputation
Arrange for follow-up with a hand specialist