Snapshot A 20-year-old college student presents to the emergency room after stepping on a piece of a rusted nail outside of his dorm. He reports that he has had all the appropriate childhood vaccinations but has had nothing since his last set of boosters at 10 years of age. His vital signs are within normal limits. Aside from erythema surrounding his left sole at the site of trauma, his physical exam is within normal limits. After cleaning the wound site, he is given the appropriate post-exposure prophylaxis. Introduction Classification login to view 5 more bullets Epidemiology login to view 8 more bullets Pathogenesis login to view 4 more bullets Associated conditions login to view 6 more bullets Prevention login to view 7 more bullets Prognosis login to view 2 more bullets Presentation Symptoms login to view 4 more bullets Physical exam login to view 10 more bullets Studies Serology or culture login to view 1 more bullet Making the diagnosis login to view 1 more bullet Differential Bacterial meningitis login to view 2 more bullets Treatment Management approach login to view 1 more bullet Conservative login to view 3 more bullets Medical login to view 10 more bullets Complications Respiratory compromise from spasm of respiratory muscles Aspiration pneumonia Contractures