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23 male pt. brought into the ER by brother. Pt is demonstrating severe…
23 male pt. brought into the ER by brother. Pt is demonstrating severe face and arm muscle spasms. Pt can hardly talk, trying to get info from the brother. I noted that Pt has many tattoos, including a fresh one on his shoulder. Brother says he got it done yesterday and the tattoo parlor was "sketchy." Ordered blood test, came back positive for Clostridium tetani. Pt has never been vaccinated against this bacteria.
Downstream
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Skeletal System
Humerous, radius, and ulna
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Upstream
Direct: Tetanus neurotoxin binds to the presynaptic membrane of the neuromuscular junction. This toxin is a poison that blocks neurotransmitter release from spinal cord to muscles, which can lead to severe muscle spasms.
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Background
Organ systems
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Muscular system
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Skeletal muscles
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Humerous, radius and ulna
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Physiology
Organ system
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Lymphatic system
Lymphatic vessels
Blood production, maintenance of fluid balance, and defense against disease
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Muscular system
Skeletal muscle
Spine
Supports body, facilitates movement, & protects internal organs.
Masseter muscle
Jaw
Muscle that helps to pull the lower jaw upward, which causes the jaws to close while chewing.
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Summation
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Spatial summation
Multiple presynaptic neurones together release enough neurotransmitter (ACh) to exceed the threshold of the postsynaptic neuron.
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