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A 23 year old male patient demonstrating severe face and arm muscle spasms…
A 23 year old male patient demonstrating severe face and arm muscle spasms was brought to the
emergency department by his brother.
Patient has many tattoos, including a fresh one on his shoulder
brother tells you that the patient just got that tattoo yesterday, and that the tattoo parlor was "sketchy"
You order blood tests, and after a little while you get the results.
Lab tests show that he is infected with Clostridium Tetani, a common bacterium found in soil that can be transmitted by using dirty needles.
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Clostridium tetani produces a
toxin that affects neurons and their ability to release neurotransmitters
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The difference between a twitch, summation, and tetany.
Twitch-
Summation-
Tetany-
is the fusion of contractions to produce a continuous contraction. Increasing the number of motor neurons involved increases the amount of motor units activated in a muscle.
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results in greater tension, and it results from stimulating the muscle before it has a chance to relax completely.
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If the toxin remains in the patient’s bloodstream, what other effects might the
toxin have?
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Muscle spasms that are severely painful, often triggered by noise, light, or touch
Rigid facial muscles, or raised eyebrows with lips pulled into a grin
Rigid abdomen, arm, and leg muscles
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Feeling restless or irritable, or a fast heartbeat or breathing
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Sweating, trouble urinating, or a low fever
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