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Acute Flaccid Paralysis - Malaysian Paediatric Association

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AFP Case vignette 1<br />

SWACH<br />

Hospital Likas<br />

Examination:<br />

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Irritable; strong cry<br />

refused to stand but able to kick out<br />

resists upper limb exam by pushing away examiners hands<br />

refuses to reach out for objects<br />

normal tone; repeated taps to elicit reflexes; flexor plantars<br />

no ataxia<br />

no muscle / bone / joint tenderness

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