Friday, September 3, 2010

WHY YOU SHOULD TAKE THAT WOUND SERIOUSLY.



"STOP GRINNING AT ME"

The patient's face took up various contortions. His body was so stiff one would have been tempted to ask if he no longer possessed a flexible spine.

Probably if you had met him at one of the popular comedy shows you would have exclaimed, saying what a great comic he is.

He had a grin on his face, a scary grin.

This was no ordinary grin, this was the Devil's grin (Risus sardonicus).

WHAT IT IS

Risus Sardonicus is a characteristic feature of a patient with tetanus.

HOW IT OCCURS.

Tetanus

occurs when a wound is contaminated. The wound may be so small to have been overlooked by the individual. The characteristic grinning expression is caused by spasm of the muscles of the face. Spasms spread and may occur spontaneously or be induced by either sound or light, this may eventually affect the muscles for respiration and lead to death if severe and improperly managed.


PREVENTION

1. Immunization (ask your health care provider).
2. Wearing of shoes in sandy areas and general outdoors, also at risk occupations like farmers.
3. Proper management of wounds and wound dressing.

MANAGEMENT

Of an established case should be in the hospital.

(Dr Erhumu works in the emergency section of a busy African hospital.)



images courtesy
And
Post a Comment