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Squirrelling the patient away
  1. Paramjeet Deol,
  2. Bennet Woodman-smith,
  3. Michelle Earby
  1. Emergency Department, Chelsea and Westminster Hospital NHS Foundation Trust, London, UK
  1. Correspondence to Dr Paramjeet Deol, Emergency Department, Chelsea and Westminster Hospital NHS Foundation Trust, London SW10 9NH, UK; Paramjeet.Deol{at}

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Clinical introduction

A fit and well 30-year-old woman attended the Emergency department 24 hours after being bitten on the right index finger while feeding a squirrel in Hyde Park. On review, the bite was small and the wound looked clean. She was given a tetanus booster as per local guidelines with safety net advice to return if symptoms worsened. She returned 24 hours later with worsening severe right shoulder pain radiating to her elbow joint.

Clinically …

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  • Contributors All authors were involved in the diagnosis and care of the patient. All authors have contributed to the writing of the manuscript. All authors agree to the submission of this article to the Emergency Medicine Journal.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; internally peer reviewed.