Displaced bone fragments and inter-vertebral disks might herniate to the spinal cord inflicting compression, commonly seen in cervical and thoraco lumbar region. The throat is reasonably to severely sore in faucial or pharyngotonsillar diphtheria, with cervical lymph nodes considerably enlarged and tender; in moderate to severe circumstances, there is marked swelling and oedema of the neck with extensive tracheal membranes that progress to airway obstruction. At current, it's not to be integrated in a diagnostic algorithm for the urgent handle- potential to predict which patients will develop these problems spasms below middle rib cage
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