Thomas Bleck

All articles by Thomas Bleck

Tetanus

OVERVIEW: What every practitioner needs to know Are you sure your patient has tetanus? What should you expect to find? The initial complaints of patients with generalized tetanus are muscle stiffness and difficulty opening their mouths. As time goes on they develop spasms, which may progress to episodes of opisthotonic posturing that can cause airway…

Botulism

OVERVIEW: What every practitioner needs to know Are you sure your patient has botulism? What should you expect to find? Most patients with botulism present with cranial nerve dysfunction; difficulty swallowing, dysarthria, blurred vision and diplopia are among the most common early complaints. Weakness of the upper extremities usually follows these problems related to cranial…

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