poliomyelitis…

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fly, poliomyelitis, polio, infantile paralysis, poliomyelitis, a viral infection, poliovirus, affect the whole body, muscles, nerves, severe cases, permanent paralysis, death, poliomyelitis, communicable disease, infection, the poliovirus, transmission, the virus occurs by direct person-to-person contact, by contact, infected secretions, nose, mouth, by contact, infected feces, virus enters, the mouth, nose, multiplies, in the throat, intestinal tract, absorbed, spread, the blood, lymph system, incubation, time from infected, the virus to developing symtoms of disease, ranges from 5 to 35 days, average 7 to 14 days, lack of immunization against polio, travel to an area that has experienced a polio outbreak, pregnancy, very old, very young age, trauma, mouth/nose/throat, recent tonsillectomy, dental surgery, unusual stress, physical exertion after an exposure to poliovirus, emotional, physical stress, weaken the immune system, polio occurs worldwide, no cases of polio have been reported, in the united states in recent years, last case of non-vaccine related polio acquired, in the united states was in 1979., have been very few cases, in the western hemisphere, once affected mostly infants, children, is mostly seen in people over 15 years old, more common, in the summer, fall, adults, young girls, more likely to be infected, infection in young boys is more likely to result in paralysis, between 1840, 1950s, polio was a worldwide epidemic, the development of polio vaccines, incidence is much reduced, outbreaks still occur, in non-immunized groups, three basic patterns of polio infection, subclinical infections, nonparalytic, paralytic, 95% of these, subclinical infections, go unnoticed, clinical poliomyelitis affects the central nervous system, brain, spinal cord, divided into nonparalytic, paralytic forms, occur after recovery, a subclinical infection, subclinical infection, no symptoms, symptoms lasting 72 hours, slight fever, headache, general discomfort, uneasiness, malaise, sore throat, red throat, vomiting, nonparalytic poliomyelitis, symptoms last 1 to 2 weeks, moderate fever, headache, vomiting, diarrhea, excessive tiredness, fatigue, irritability, pain, stiffness, the back, arms, legs, abdomen, muscle tenderness, spasm in any area, neck pain, stiffness, pain front part of neck, back pain, backache, leg pain, calf muscles, skin rash, lesion, pain, muscle stiffness, paralytic poliomyelitis, fever, occurring 5 to 7 days, other symptoms, headache, stiff neck, muscle weakness, asymmetrical, on one side, worse on one side, rapid onset, progresses to paralysis, location depends on, spinal cord is affected, abnormal sensations, not loss of sensation, an area, sensitivity to touch, mild touch painful, difficulty beginning to urinate, constipation, bloated feeling of abdomen, swallowing difficulty, muscle pain, muscle contractions, muscle spasms, in the calf, neck, drooling, breathing difficulty, irritability, poor temper control, positive babinski's reflex, examination, signs of meningeal irritation, similar to meningitis, stiff neck, back stiffness, difficulty bending the neck, sitting, support the body, the arms, have difficulty lifting the head, lifting the legs, a supine position, lying flat on the back, reflexes abnormal, resemble encephalitis, affect the cranial nerves, facial expression, swallowing, chewing, cause choking, difficulty breathing, viral cultures of throat washings, stools, cerebrospinal fluid, csf, confirm the diagnosis, csf collection, routine csf examination normal, slight increase in pressure, protein, white blood cells, goal of treatment, control symptoms the infection runs its course, lifesaving measures, particularly assistance, breathing, necessary in severe cases, treated according to presence, severity, antibiotics, treat urinary tract infections, medications, bethanechol, reduce urinary retention, pain killers, reduce headache, muscle pain, spasms, narcotics, they increase the risk of breathing difficulty, moist heat, heating pads, warm towels, reduce muscle pain, spasm, activity is limited only by the extent of discomfort, extent of muscle weakness, physical therapy, braces, corrective shoes, orthopedic surgery, similar interventions, eventually be necessary to maximize recovery of muscle strength, function, the form, subclinical, nonparalytic, paralytic, site affected, spinal cord, brain, not affected, case over 90%, the time, complete recovery is likely, brain, spinal cord involvement, medical emergency, paralysis, death, from respiratory difficulties, disability is more common than death, lesions high, in the spinal cord, brain, greater risk, respiratory difficulty, spread of infection to other non-immunized persons, permanent muscle paralysis, disability, deformity, pulmonary edema, shock, complications of immobility, respiratory, lung, involvement, aspiration pneumonia, high blood pressure, urinary tract infections, kidney stones, paralytic ileus, loss of intestinal functioning, myocarditis, cor pulmonale, symptoms of poliomyelitis occur, someone close to has developed poliomyelitis, not immunized against the disorder, child's polio immunization, vaccine is not up-to-date, polio immunization, vaccine, effectively prevents poliomyelitis in most people, immunization is over 90% effective.