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Pediatrics
A 5-year-old boy is brought into the ER immediately after an unfortunate altercation with a neighbor's immunized Chihuahua that occurred while the child was attempting to dress the dog as a superhero. The fully immunized child has a small, irregular, superficial laceration on his right forearm that has stopped bleeding. His neuromuscular examination is completely normal, and his perfusion is intact. Management should include which of the following?
Irrigation and antimicrobial prophylaxis
Tetanus booster immunization and tetanus toxoid in the wound
Copious irrigation
Primary rabies vaccination for the child
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