Please enable JavaScript.
Coggle requires JavaScript to display documents.
Tetanus - Coggle Diagram
Tetanus
Risk factors
Unvaccinated
elderaly
IVDU
Investigations
MC+S
Ablett Tetanus Severity
Grade 1-4
Differentials
Dystonic
NMS
HYpocalcaemia
Strychnine poisoning
Apilepsy
Rabies
Management
Prevention of further toxin release
Wound debridement
Metroniadazole 500mg TDS
Neutralise toxin
HUman tetanus immunoglobulin
Vaccination
Minimise complications
Muscle rigidity
Opiods
Baclofen
NMDA
Atracurium
Vecuronium
Benzodiazepines
Autonomic instability
Magnesium
Clonidine
Esmolol
Cause
Clostridium tetani
Gram positive spore forming
Rod shaped anaerobic
Neurotoxin
Tetanospasmin
150kDa polypeptide
presynaptic GABAergic inhibitory interneurons
Clinical features
Triad
Rigidity
Muscle spasms
Autonomic instability
Concerning
Trismus
Risus Sardonicus
Abdominal rigidity
Larygeal spasms
Autonomic instability