No pathognomonic signs proving lesion is a<unk> Assess both<unk> site and for systemic signs<unk> Site
Location<unk>  more common when clothing is tight against skin
Number of<unk> 
Multiple<unk>  suggest parasitic insect and not<unk> 
Appearance of<unk> Erythema, pallor, hemorrhage, induration, tenderness, paresthesia, vesicles
Systemic findings
Abnormal vital signs (tachycardia possible with black widow)
Altered mental status
Abdominal pain
Diaphoresis
Generalized rash
Muscle fasciculations, spasm, or tenderness
Location<unk>  more common when clothing is tight against skin
Number of<unk> 
Multiple<unk>  suggest parasitic insect and not<unk> 
Appearance of<unk> Erythema, pallor, hemorrhage, induration, tenderness, paresthesia, vesicles<unk>  more common when clothing is tight against skin
Multiple<unk>  suggest parasitic insect and not<unk> 
Erythema, pallor, hemorrhage, induration, tenderness, paresthesia, vesicles
Abnormal vital signs (tachycardia possible with black widow)
Altered mental status
Abdominal pain
Diaphoresis
Generalized rash
Muscle fasciculations, spasm, or tenderness
Spider bites
Hymenoptera stings 
Snake bites
Mammalian bites
Lizard bites
Closed fist infection 
Shark bite
Dog bite