Question
A Patient Presented with the following Typical Grin. Most Probable diagnosis ?
A. Rabies.
B. Tetanus.
C. Bell’s palsy.
D. Opium Poisoning.
Show Answer
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Correct Answer » B
Explanation
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Ans: B. Tetanus.
The Image Shows Sardonic Grin.
Clinical Manifestations of Tetanus
- Refusal of feeds, apathy and excessive unexplained cry are the common initial symptoms.
- “Trismus (spasm of masseter muscle) is the most common symptom of tetanus. It is seen in about 50% of patients with tetanus”.
- Headache restlessness and irritability
- Dysphagia neck muscle spasm.
- Risus Sardonicus due to spasms of facial and buccal muscles.
- Opisthotonos (Arched posture)
- Seizures
- Respiratory muscle spasm
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