Acute Flaccid Paralysis - Malaysian Paediatric Association

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Botulism: Clinical presentation History ● ● ● constipation swallowing difficulty limb and respiratory muscle weakness ● later drowsiness, encephalopathy Examination ● ● ● ptosis, ophthalmoplegia (dilated pupils) weak gag reflex hypotonia, muscle weakness, areflexia
Botulism: Risk factors Utah study, n = 39 Father with outdoor occupation wild, unprocessed honey Thompson. Neurol 05 Living near residential construction 34 Breast fed + other foods Breast fed only Living near highway construction Specific food risk factors corn syrup n 22 16 11 10 % 87 56 41 28 5
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Page 43: vignette 1 anterior cord lesion
Page 47 and 48: Botulism: Clinical presentation Man
Page 49: The end

Acute Flaccid Paralysis - Malaysian Paediatric Association

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