Scenario#25: A wife brings her 42-year-old husband to the emergency room of the small local hospital where you are working the early morning shift. She indicated that last night he had been complaining about stiffness in his jaw and neck, and that when he woke up this morning, he was having difficulty swallowing, abdominal spasms and was running a fever of 103oF. He had not been sick during the last 6 weeks. His only reported medical finding was that he had incurred a small but deep burn on his left arm when it accidentally brushed against the engine of his tractor while he was fertilizing his corn fields approximately 10 days ago.
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