Epi-Pen to the finger!

Presentation:  48 to M accidentally injected Epipen into finger

Physical Exam:  Pale painful finger with decreased sensation.

Management:  Nitroglycerin ointment to finger and 1.5mg Phentolamine mixed with 1cc 2% lidocaine and inject into the finger.

Outcome:  Patient was discharged with close hand followup.

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