147 - Tetanus

Question 1

Tetanus is an __ disease with high __ rate. Presentation include muscle __ and __ nervous system disturbance.

Answer 1

acute
mortality
cramping
autonomic

Question 2

Diagnosis is done __ and treatment should be initiated __ to lab results.

Answer 2

clinically

prior

Question 3

C. Tetani is G(_), infection is via __, the disease is caused by __ secreted from the bacteria.

Answer 3

+
wounds
exotoxin

Question 4

Clinical presentation is divided to __ and __

Answer 4

local

general

Question 5

Local symptoms include- __ of __ nerves.

Answer 5

paralysis

single

Question 6

General symptoms include: 5

Answer 6

trismus
pain + muscle weakness/cramping
backache
dysphagia

Question 7

Treating tetanus starts with __ the wound to reduce the bacterial load, Abx (__/__), antitoxin (__), relaxant (__/__), mechanical ventilation through __.

Answer 7

cleaning 
metronidazole/penicillin  
antitoxin (TIG-tetanus immunoglobulin)
BZD
tracheostomy

Question 8

When treating tetanus certain drugs can improve CV stability: 5

Answer 8

magnesium sulfate IV
morphine
fentanyl 
esmolol
CCB

Question 9

Prevention is done by __ and __

Answer 9

wound cleaning

vaccination

Question 10

Vaccination should be given 3 times: ages -, -, in __.

Answer 10

4-7
12-15
adulthood

Question 11

Injured unvaccinated adults which received their vaccination > __ years, should receive __. If they did not get the full vaccination- give passive vaccination- __

Answer 11

10
booster
TIG