Which of the following statements is true regarding coral snake envenomation?
A. The toxic effects of coral snake venom are seen immediately.
B. Coagulopathy occurs in severe cases.
C. Pain at the bite site is severe.
D. Early symptoms of envenomation include nausea, vomiting, headache, and pallor.
D
The toxic effects of coral snake venom are not seen immediately. The effects may be delayed for up to 12 to 13 hours after a bite, but then rapid clinical deterioration occurs. Unlike pit viper en-venomation, pain at the bite site may be only mild and transient. Swelling is unlikely. Early symptoms consist of headache, nausea, vomiting, pallor, and abdominal pain. Paresthesias, numbness, and mental status changes also occur. Total flaccid paralysis may occur late. The vic-tim may have difficulty speaking, swallowing, and breathing.
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