Changes

==Introduction==

==Introduction==

Adder bites are most frequent between february and october. The habitat of the common european adder (Vipera Berus) extends throughout England, Wales, Scotland and some islands off the coast of Scotland, and the isle of Wight <ref> '''Treatment of bites by adders and exotic venomous snake''',Warrell DA,''BMJ'' 2005;331:1244 doi:10.1136/bmj.331.7527.1244(Published 12 november 2005) </ref>. <ref> '''http://www.nhs.uk/conditions/Bites-snake/Pages/Introduction.aspx'''accessed on 10.11.2010 <ref/>. It is the only poisonous species of snake in the UK living in the wild.

The adder, also known as the viper, is native to many parts of the UK, where it is the only poisonous snake living in the wild <ref name="multiples"> '''http://www.nhs.uk/conditions/Bites-snake/Pages/Introduction.aspx'''accessed on 10.11.2010 <ref/>. Adder bites are most frequent between february and october. The habitat of the common european adder (Vipera Berus) extends throughout England, Wales, Scotland and some islands off the coast of Scotland, and the isle of Wight <ref> '''Treatment of bites by adders and exotic venomous snake''',Warrell DA,''BMJ'' 2005;331:1244 doi:10.1136/bmj.331.7527.1244(Published 12 november 2005) </ref>. <ref name="multiples"> '''http://www.nhs.uk/conditions/Bites-snake/Pages/Introduction.aspx'''accessed on 10.11.2010 <ref/>.  

 

==Signalment==

==Signalment==

Adder bites have been reported in dogs, cats and horses <ref> '''http://www.fabcats.org/owners/poisons/Cats%20and%20poisons.html''', accessed on 10.11.2010 </ref>.

Adder bites have been reported in dogs, cats and horses <ref> '''http://www.fabcats.org/owners/poisons/Cats%20and%20poisons.html''', accessed on 10.11.2010 </ref>.

==Diagnosis==

==Diagnosis==

===Clinical Signs===

===Clinical Signs===