myositis

Question 1

what is pyomyositis

Answer 1

primary skeletal muscle abscess predominantly due to staph aureus

Question 2

symptoms of pyomyositis

Answer 2

• fever accompanied by localised skeletal muscle swelling tenderness and fluctuance progress in severity over time
• overlying skin erythema and warmth develop following hemodynamic instability and spesis

Question 3

risk factors for pyomyositis

Answer 3

IDU, trauma, HIV, DM, corticosteroid therapy, liver disease, malnutrition and hematologic malignancy

Question 4

what is gas gangrene

Answer 4

an acute invasion of healthy living tissue that occurs spontaneously or as a result of traumatic injury

Question 5

what is treatment for myonecrosis

Answer 5

surgery and antibiotics

Question 6

causes of myosistis

Answer 6

viral
fungal
parasites

Question 7

is tetanus gram positive or neg

Answer 7

positive

Question 8

how can tetanus cause spastic paralysis

Answer 8

neurotoxin binds to inhibitory neurons preventing release of neurotransmitters

Question 9

symptoms of tetanus

Answer 9

lock jae
trismus 
risus sardonicus 
muscle spasms
autonomic instability

Question 10

treatment of tetanus

Answer 10

Surgical debridement.
Antitoxin.
Supportive measures ( early intubation, beta blockers, avoid light, benzodiazepines for reflex spasms, some need neuromuscular blockade, magnesium sulphate)
Antibiotics for 7 to 10 days (controversial)
Penicillin
Metronidazole
Booster vaccination……..toxoid.