James Bale, Author at Gastroenterology Advisor
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James Bale

All articles by James Bale

Pediatrics

Botulism (including infant botulism)

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OVERVIEW: What every practitioner needs to know Are you sure your patient has botulism? What are the typical findings for this disease? Adult-type botulism can be food borne or can be a result of wound contamination. Clinical features of foodborn botulism include the following: Cranial nerve palsies (ptosis, blurry vision, mydriasis, dysarthria, dysphagia, dyphonia, ophthalmoplegia…

Infectious Diseases

Tetanus

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OVERVIEW: What every practitioner needs to know Are you sure your patient has tetanus? What are the typical findings for this disease? Neonatal tetanus poor suck and swallow irritability fixed facial expression (“risus sardonicus”) hypertonicity muscle spasms autonomic dysfunction (hypotension, tachycardia, fever) respiratory failure Child and adult tetanus trismus (“locked jaw”) dysphagia neck or back…

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