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1. Immunization history and belief for vaccination - To know if the patient has the immunity for tetanus. NO 2. Any other family member circumcised in the same place? - To support the reason why parents choose traditional circumcision NO 3. Frequency of rigidity, intermittent or persistent - To help diagnose the patient condition FREQUENTLY 4. Severity of the rigidity, pain scale 1-10 - To help diagnose the patient condition CANNOT CHECK, PTX DIDN'T NOT COOPERATE 5. History of other patient’s condition whose circumcised there - To know if there is other patient experienced the same symptoms WITHIN NORMAL LIMIT (WNL) 6. Family education - To support the reason why parents choose traditional circumcision LULUSAN SMA 7. Specific characteristic of rigidity: Lock jaw, opisthotonus, risus sardonicus - To know the possibility of tetanus ASK TUTOR FOR DATA 8. The race of the patient and family - To know the possibility of Huntington disease JAVA 9. The reason choosing traditional circumcision - For educational purpose PRACTICAL 10. Mental status of the patient - To know the possibility of psychological disease WNL 11. Sign of seizure such as biting tongue, loss of bladder control, foaming mouth, and seeing aura - To know the possibility of seizure NO 12. Rigidity happens before or after the patient was swimming in the river - To know the onset of the complaints AFTER SWIM

1. Spatula test - To support the possibility of tetanus 2. Water quality in the river - To know the trigger cause of Clostridium Tetani bacteria infectionWATER OF RIVER SAME WIT OTHER RIVER 3. Method of traditional circumcision used for the child’s circumcision - To know the trigger cause of Clostridium Tetani bacteria infection USES SUPIT 4. Sterility in the child circumcision procedure DONT KNOW - To know the trigger cause of Clostridium Tetani bacteria infection