1 / 4

DIFFERENTIAL DIAGNOSIS

DIFFERENTIAL DIAGNOSIS. Strychnine poisoning. usually appear within 15 to 60 minutes. INITIAL Symptoms: agitation apprehension r estlessness LATER Symptoms: heightened perception painful muscle spasm arching of the back & neck rigid arms & legs jaw tightness

harvey
Télécharger la présentation

DIFFERENTIAL DIAGNOSIS

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. DIFFERENTIAL DIAGNOSIS

  2. Strychnine poisoning • usually appear within 15 to 60 minutes INITIAL Symptoms: • agitation • apprehension • restlessness • LATER Symptoms: • heightened perception • painful muscle spasm • arching of the back & neck • rigid arms & legs • jaw tightness • difficulty breathing • PATIENT: • 60y/o, gardener • Hx of punctured wound (erythematous and swollen R. Index finger) • lockjaw • muscle strength 5/5 • Low grade Fever (38.5’C) • Hypertensive (170/90) • RR: 23/min, PR: 110/min

  3. Tetanus • Median time of onset after injury is 7 days(3-21days) • Fever (38.5 degrees C) • ↑BP (170/90) • ↑ RR (23/min) • Lockjaw / trismus • Risussardonicus (sardonic grin) • Dysphagia / stiffness / pain – neck, shoulder, back muscles • Opisthotonos • Rigid abdomen and proximal limb muscles • Muscle spasms • Autonomic dysfunction

More Related