Conidae Workup

Updated: Mar 06, 2017
  • Author: Suzanne Moore Shepherd, MD, MS, DTM&H, FACEP, FAAEM; Chief Editor: Joe Alcock, MD, MS  more...
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Laboratory Studies

No assay for cone toxins is currently commercially available.
No specific laboratory abnormality is described for cone shell envenomation.

In acutely ill individuals, obtain blood for a complete blood cell count, electrolytes, and coagulation studies if indicated.

Measure arterial blood gas levels.


Imaging Studies

After the airway is secure, imaging studies may aid evaluations for retained stingray barbs, foreign bodies, or other possible causes of local symptoms. Radular teeth are small enough to probably be missed on plain radiography.

Imaging studies may also be obtained for evaluation of endotracheal tube placement.