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Diphetheria

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okay now a very serious issue I would like to discuss about Diphetheria. in diphetheria the patient usuallly develops respiratory distress. now when we know a patoent is having diphetheria, so should we do tracheostomy prophylactically or should wait till the extreme distress level and then perform tracheostomy if severe distress??? any discussion with solid reason would be appeeciated highly

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