Most common cause of death in case of acute poliomyelitis is –
Correct Answer: Respiratory failure
Description: Death is usually due to complications arising from respiratory dysfunction.
Paralytic polio
In less than 1% of infections.
Paralysis is characterized as :
Descending
Asymmetrical
Proximal muscles > distal muscles
Non progressive
No sensory involvement
No autonomic disturbance
Lower motor neuron type
Most common muscle affected -4 Quadriceps
Most common muscle undergoes complete paralysis -4 Tibialis anterior
Most common muscle affected in hand —> Opponens pollicis.
M.C. cause of death ---> Respiratory paralysis
Following signs can be elicited :
Tripod sign —> Child is asked to sit up unassisted. He assumes tripod posture.
Kiss the knee Test —> The child cannot kiss his knees due to spine stiffness.
Head drop sign —> Hand is placed under the patients shoulder and the trunk is raised. The head lags behind simply.
Category:
Pediatrics
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