Usually not suicidal but commonly accidentaly ingestion of rat poisons or overdose of aphrodisiacs.
Clinical picture: (no loss of consciousness).
- lag of 15 minutes inbetween tetanus like attacks
- restlessness
- irritability
- trismus (contracture of facial muscles as smile) and opisthotonus (arched back) - muscles twitches - convulsions (symmetrical, spontaneous or due to external stimuli and non coordinated) - respiratory arrest - death.
Treatment:
1- Isolation of the patient alone in dark quiet room + anticonvulsive therapy.
2- respiratory care is very important.
3- acid diuresis as vit. C.
4- NB: gastric lavage is done with K permanganate 1/5000 solution only after complete control of convulsions.
Clinical picture: (no loss of consciousness).
- lag of 15 minutes inbetween tetanus like attacks
- restlessness
- irritability
- trismus (contracture of facial muscles as smile) and opisthotonus (arched back) - muscles twitches - convulsions (symmetrical, spontaneous or due to external stimuli and non coordinated) - respiratory arrest - death.
Treatment:
1- Isolation of the patient alone in dark quiet room + anticonvulsive therapy.
2- respiratory care is very important.
3- acid diuresis as vit. C.
4- NB: gastric lavage is done with K permanganate 1/5000 solution only after complete control of convulsions.
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