tin tin tin tin
Post on 30-May-2018
242 Views
Preview:
TRANSCRIPT
8/14/2019 tin tin tin tin
http://slidepdf.com/reader/full/tin-tin-tin-tin 1/55
NAB 0513501®
8/14/2019 tin tin tin tin
http://slidepdf.com/reader/full/tin-tin-tin-tin 2/55
NAB 0513501®
8/14/2019 tin tin tin tin
http://slidepdf.com/reader/full/tin-tin-tin-tin 3/55
NAB 0513501®
8/14/2019 tin tin tin tin
http://slidepdf.com/reader/full/tin-tin-tin-tin 4/55
NAB 0513501®
8/14/2019 tin tin tin tin
http://slidepdf.com/reader/full/tin-tin-tin-tin 5/55
NAB 0513501®
8/14/2019 tin tin tin tin
http://slidepdf.com/reader/full/tin-tin-tin-tin 6/55
NAB 0513501®
8/14/2019 tin tin tin tin
http://slidepdf.com/reader/full/tin-tin-tin-tin 7/55NAB 0513501®
8/14/2019 tin tin tin tin
http://slidepdf.com/reader/full/tin-tin-tin-tin 8/55NAB 0513501®
8/14/2019 tin tin tin tin
http://slidepdf.com/reader/full/tin-tin-tin-tin 9/55NAB 0513501®
8/14/2019 tin tin tin tin
http://slidepdf.com/reader/full/tin-tin-tin-tin 10/55NAB 0513501®
8/14/2019 tin tin tin tin
http://slidepdf.com/reader/full/tin-tin-tin-tin 11/55NAB 0513501®
8/14/2019 tin tin tin tin
http://slidepdf.com/reader/full/tin-tin-tin-tin 12/55NAB 0513501®
8/14/2019 tin tin tin tin
http://slidepdf.com/reader/full/tin-tin-tin-tin 13/55NAB 0513501®
8/14/2019 tin tin tin tin
http://slidepdf.com/reader/full/tin-tin-tin-tin 14/55
NAB 0513501®
8/14/2019 tin tin tin tin
http://slidepdf.com/reader/full/tin-tin-tin-tin 15/55
NAB 0513501®
8/14/2019 tin tin tin tin
http://slidepdf.com/reader/full/tin-tin-tin-tin 16/55
NAB 0513501®
8/14/2019 tin tin tin tin
http://slidepdf.com/reader/full/tin-tin-tin-tin 17/55
NAB 0513501®
8/14/2019 tin tin tin tin
http://slidepdf.com/reader/full/tin-tin-tin-tin 18/55
NAB 0513501®
8/14/2019 tin tin tin tin
http://slidepdf.com/reader/full/tin-tin-tin-tin 19/55
NAB 0513501®
8/14/2019 tin tin tin tin
http://slidepdf.com/reader/full/tin-tin-tin-tin 20/55
NAB 0513501®
8/14/2019 tin tin tin tin
http://slidepdf.com/reader/full/tin-tin-tin-tin 21/55
NAB 0513501®
8/14/2019 tin tin tin tin
http://slidepdf.com/reader/full/tin-tin-tin-tin 22/55
NAB 0513501®
8/14/2019 tin tin tin tin
http://slidepdf.com/reader/full/tin-tin-tin-tin 23/55
NAB 0513501®
8/14/2019 tin tin tin tin
http://slidepdf.com/reader/full/tin-tin-tin-tin 24/55
NAB 0513501®
8/14/2019 tin tin tin tin
http://slidepdf.com/reader/full/tin-tin-tin-tin 25/55
NAB 0513501®
8/14/2019 tin tin tin tin
http://slidepdf.com/reader/full/tin-tin-tin-tin 26/55
NAB 0513501®
8/14/2019 tin tin tin tin
http://slidepdf.com/reader/full/tin-tin-tin-tin 27/55
NAB 0513501®
8/14/2019 tin tin tin tin
http://slidepdf.com/reader/full/tin-tin-tin-tin 28/55
SIGNS AND SYMPTO
URTI: NAB 0513501®
8/14/2019 tin tin tin tin
http://slidepdf.com/reader/full/tin-tin-tin-tin 29/55
MENIENCEPHALITIS
SIGNS AND SYMPTOMS
Stiff neck
Photophobia
Nuchal
OpisthotNAB 0513501®
8/14/2019 tin tin tin tin
http://slidepdf.com/reader/full/tin-tin-tin-tin 30/55
NAB 0513501®
8/14/2019 tin tin tin tin
http://slidepdf.com/reader/full/tin-tin-tin-tin 31/55
NAB 0513501®
8/14/2019 tin tin tin tin
http://slidepdf.com/reader/full/tin-tin-tin-tin 32/55
NAB 0513501®
8/14/2019 tin tin tin tin
http://slidepdf.com/reader/full/tin-tin-tin-tin 33/55
NAB 0513501®
8/14/2019 tin tin tin tin
http://slidepdf.com/reader/full/tin-tin-tin-tin 34/55
NAB 0513501®
8/14/2019 tin tin tin tin
http://slidepdf.com/reader/full/tin-tin-tin-tin 35/55
NAB 0513501®
8/14/2019 tin tin tin tin
http://slidepdf.com/reader/full/tin-tin-tin-tin 36/55
NAB 0513501®
8/14/2019 tin tin tin tin
http://slidepdf.com/reader/full/tin-tin-tin-tin 37/55
Clinical picture and sequelae of polio infection:•Inapparent infection: It is associated with acquired immunity and or
carrier state.•Clinical poliomyelitis : Either
1.Abortive poliomyelitis with moderate fever and either upper
respiratory or gastrointestinal manifestations, then clears up and
gives immunity.
2.Major illness with involvement of the CNS :
3.Few days after subsidence of abortive disease, a small percent of cases shows :
•Nonparalytic cases: With meningeal irritation (fever, headache,
vomiting, neck rigidity, stiffness in the back and pleocytosis.•Paralytic poliomyelitis : Affects the anterior horn cells of motor nerves in
about 1% of cases causing flaccid paralysis. Appears 7-10 days fromonset of disease. Paralytic poliomyelitis may be spinal (e.g. lower limbs),
bulbar (cranial nerves e.g, dysphagia, dysphonia, diplopia diplopia) or
bulbo-spinal.
NAB 0513501®
8/14/2019 tin tin tin tin
http://slidepdf.com/reader/full/tin-tin-tin-tin 38/55
POLIO ABORTIVE TYPE
•Does not invade the CNS•Headache•Sore throat•Recovery within 72 hours and the disease passes by unnoticed
PRE-PARALYTIC OR MENINGETIC TYPE
•Slight involvement of the CNS•Pain and spasm of muscles•Transient paresis
•(+) Pandy’s test (increased protein in the CSF)PARALYTIC TYPE
•CNS involvement•Flaccid paralysis•Asymmetric
•Affects lower extremities•Urine retention and constipation•(+) HOYNE’S SIGN (when in supine position, head will fall back when
shoulders are elevated)
NAB 0513501®
8/14/2019 tin tin tin tin
http://slidepdf.com/reader/full/tin-tin-tin-tin 39/55
NAB 0513501®
8/14/2019 tin tin tin tin
http://slidepdf.com/reader/full/tin-tin-tin-tin 40/55
NAB 0513501®
8/14/2019 tin tin tin tin
http://slidepdf.com/reader/full/tin-tin-tin-tin 41/55
NAB 0513501®
8/14/2019 tin tin tin tin
http://slidepdf.com/reader/full/tin-tin-tin-tin 42/55
PRODROMAL/INVASION PHASE
•Fever •Anorexia
•Sore throat•Pain and tingling at the site of bite•Difficulty swallowing
EXCITEMENT OR NEUROLOGICAL PHASE
•Hydrophobia (laryngospasm)•Aerophobia (bronchospasm)•Delirium•Maniacal behavior •Drooling
TERMINAL OR PARALYTIC PHASE•Patient becomes unconscious•Loss of urine and bowel control•Progressive paralysis
•Death NAB 0513501®
8/14/2019 tin tin tin tin
http://slidepdf.com/reader/full/tin-tin-tin-tin 43/55
NAB 0513501®
8/14/2019 tin tin tin tin
http://slidepdf.com/reader/full/tin-tin-tin-tin 44/55
NAB 0513501®
8/14/2019 tin tin tin tin
http://slidepdf.com/reader/full/tin-tin-tin-tin 45/55
NAB 0513501®
8/14/2019 tin tin tin tin
http://slidepdf.com/reader/full/tin-tin-tin-tin 46/55
NAB 0513501®
8/14/2019 tin tin tin tin
http://slidepdf.com/reader/full/tin-tin-tin-tin 47/55
NAB 0513501®
8/14/2019 tin tin tin tin
http://slidepdf.com/reader/full/tin-tin-tin-tin 48/55
NAB 0513501®
8/14/2019 tin tin tin tin
http://slidepdf.com/reader/full/tin-tin-tin-tin 49/55
NAB 0513501®
8/14/2019 tin tin tin tin
http://slidepdf.com/reader/full/tin-tin-tin-tin 50/55
NAB 0513501®
8/14/2019 tin tin tin tin
http://slidepdf.com/reader/full/tin-tin-tin-tin 51/55
NAB 0513501®
8/14/2019 tin tin tin tin
http://slidepdf.com/reader/full/tin-tin-tin-tin 52/55
NAB 0513501®
8/14/2019 tin tin tin tin
http://slidepdf.com/reader/full/tin-tin-tin-tin 53/55
NAB 0513501®
8/14/2019 tin tin tin tin
http://slidepdf.com/reader/full/tin-tin-tin-tin 54/55
NAB 0513501®
8/14/2019 tin tin tin tin
http://slidepdf.com/reader/full/tin-tin-tin-tin 55/55
top related