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NAB 0513501®

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NAB 0513501®

SIGNS AND SYMPTO

URTI: NAB 0513501®

MENIENCEPHALITIS

SIGNS AND SYMPTOMS

Stiff neck

Photophobia

Nuchal

OpisthotNAB 0513501®

NAB 0513501®

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®

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®

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®

NAB 0513501®

tin tin tin tin

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