A 40-year old gentleman arrives in the emergency room with a headache, irritability, generalized muscle pain, and uncontrollable back spasms. He has become very restless and worried because he has had the back spasms all day while at work and they have become extremely painful. In his history, the man states that he runs his own business and is very busy with work. He injured himself about 10 days earlier, puncturing his left arm with a nail from an old barn he is renovating. The wound has produced moderate quantities of pus, but he has been keeping it clean. When asked, he did not remember having a tetanus shot since he was a kid. The wound was sampled for microscopic examination and cultured. It was discovered that the culture consists of rod-shaped cells that each contain an endospore. His back appears to have very tight contractions and spasms. The patient is in obvious agonizing pain. 1. What is your diagnosis here? 2. How could this have been prevented?

Phlebotomy Essentials
6th Edition
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Chapter1: Phlebotomy: Past And Present And The Healthcare Setting
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A 40-year old gentleman arrives in the emergency room with a headache, irritability, generalized muscle pain, and uncontrollable back spasms. He has become very restless and worried because he has had the back spasms all day while at work and they have become extremely painful. In his history, the man states that he runs his own business and is very busy with work. He injured himself about 10 days earlier, puncturing his left arm with a nail from an old barn he is renovating. The wound has produced moderate quantities of pus, but he has been keeping it clean. When asked, he did not remember having a tetanus shot since he was a kid. The wound was sampled for microscopic examination and cultured. It was discovered that the culture consists of rod-shaped cells that each contain an endospore. His back appears to have very tight contractions and spasms. The patient is in obvious agonizing pain. 1. What is your diagnosis here? 2. How could this have been prevented?
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