Animal and Human Bites

(M2.ID.16.4691) A child is brought into the emergency room by her mother. Her mother states that the 7-year-old child was playing with their dog, who is up to date on his vaccinations. When the dog started playing more aggressively, the child suffered a bite on the hand with two puncture wounds from the dog's canines. The child is up-to-date on her vaccinations and has no medical history. Her vitals are within normal limits. If this bite becomes infected, what is the most likely organism to be the cause of infection?

(M2.ID.16.4686) An 8-year-old girl is brought into your clinic with a 5 day history of decreased oral intake, body aches and lymphadenopathy. She has no significant medical history. Upon further questioning you find that the patient frequently plays outside, where she enjoys chasing the neighborhood cats and dogs. She has had no recent sick contacts or travel to foreign countries. The patients vital signs are: temperature 100.4F, HR 80, BP 105/75 and RR 15. Physical exam is significant for a 1-cm erythematous and tender lymph node in the right posterior cervical area (Figure 1). There is a nearly healed scratch in the right occipital region. What is the most likely diagnosis for this patient?

(M3.ID.15.17) A 12-year-old boy is brought to the emergency department by his parents after he was bitten by a friend's cat while playing at their house. The patient reports moderate pain of the right hand and wrist but has full range of motion and strength. He is up to date on his vaccinations and is generally healthy. His vitals are unremarkable. Physical exam reveals a deep puncture wound that is actively bleeding. The wound is irrigated and a dressing is applied. Which of the following is appropriate management of this patient?