This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Forensic Medicine
[{'content': "Hera Lai's 10 year old child presented in casualty with snakebite since six hours. On examination no systemic signs are found and lab investigation are normal except localized swelling over the leg of < 5 cm. Which of the following is the next step in management? \nSelect and explain. \nA. I/V antivenom, B. Incision and suction of local swelling, C. Subcutaneous anti venom at local swelling, D. Observe the patient for progression of symptoms and wait for antivenom therapy", 'role': 'user'}, {'content': "Answer: D \nExplanation: The indications for antivenin are: Rapidly progressive and severe local findings (soft tissue swelling, ecchymosis, petechiae etc). Manifestations of systemic toxicity (signs and symptoms of laboratory abnormalities). Because both these conditions are absent, the antivenin therapy should be withheld and the victim should be closely monitored for vital signs, cardiac rhythm and oxygen saturation. Ref: Harrison's Principles of Internal Medicine, 15th Edition, Page 2545", 'role': 'assistant'}]