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Kaplan Qbank USMLE



Author5 Posts
  #1

Hi, all!

Can anyone explain this to me: the difference between:

-Tetanus, as due to continous cycling of cross-bridges, from increasing free intracellular calcium

-and Tetany, as due to hypocalcemia


___________________
Flex

  #2

tetany :

when the concentration of calcium ions (Ca++) in extracellular fluids such as plasma falls below normal. The nervous system becomes increasingly excitable, and nerves discharge spontaneously, sending impulses to skeletal muscles and causing spasmodic contractions ( remember that skeletal muscle contraction does not depend on extracelluar Ca but depends on Ca derived from sarcoplasmic reticulum released as a result of action potential generated by a stimulus to nervous system---hypocalcemia in this case)

tetanus :

the spores contain toxin called tetanospasmin that enters the CNS and blocks the release of GABA/Glycine which regulate the excitatory neurons ( Ach releasers )...this regulatory control is lost and the excitatory neurons release Ach unopposed at the neuromuscular junctions generating action potentials...thus muscle spasm


  #3

Thanks, Dr_Sarim, for your explanation!

___________________
Flex

  #4

nodya, thats really clear explanation

  #5

nod







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