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DDx

Discussion in 'Spot Diagnosis' started by J.P.C. Peper, Apr 30, 2012.

  1. J.P.C. Peper

    J.P.C. Peper Bronze Member

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    What's this phenomenom called and what's the underlying disease?

    Fig 289.JPG
     

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  2. Hasan

    Hasan Bronze Member

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    Ophisthotonus....due to Tetanus
     

  3. J.P.C. Peper

    J.P.C. Peper Bronze Member

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    Any other ideas, anyone?

    If not, I'll post the correct answer in two days ;-)
     

  4. Huertas_MD

    Huertas_MD Well-Known Member

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    Sandifer???.. I have a patient like this!
     

  5. end_ptw

    end_ptw Well-Known Member

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    tetanus...
     

  6. Nirusha Amerjit Singh

    Nirusha Amerjit Singh Well-Known Member

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  7. chirca_elena

    chirca_elena Well-Known Member

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    meningitidis
     

  8. chirca_elena

    chirca_elena Well-Known Member

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    the phenomenon is ophisthotonus, which is specific in tetanus and meningitidis
     

  9. Gospodin Seki

    Gospodin Seki Moderator Staff Member

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    ophisthotonus
     

  10. Rocket Queen

    Rocket Queen Super Moderator

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    Tetanus or meningitis
     

  11. Amwab

    Amwab Well-Known Member

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    Ophisthotonus due to cerebral malaria
     

  12. AnielaD

    AnielaD Well-Known Member

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    meningitis
     

  13. Livi

    Livi Well-Known Member

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    Opisthotonos due to tetanus or meningitis... or possibly a special case of cervical dystonia or cerebral palsy
    (PS: there's something that looks like vomit on the bedsheets, so it can be a case of poisoning - metals or some drug, for example)
     

  14. Hendra Gandhi

    Hendra Gandhi Moderator

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    Opisthotonus due to tetanus
     

  15. J.P.C. Peper

    J.P.C. Peper Bronze Member

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    Correct answer:

    Indeed, arching of the body and neck hyperextension is called opisthotonus, which is characteristic for a severe tetanus infection. It’s also true that meningitis or strychnine poisoning can cause this, but in these cases opisthotonus is less likely to occur.
     

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