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Medicine

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Neurology

Question
16 out of 25
 

All are the feature of botulism except (LQ)



A Diplopia
B Dysarthria

C Dysphonia
D Dyspnea

Ans. D

Dyspnea

Botulism

1). History of recent ingestion of home canned or smoked food or injection of drug.

2). Symmetric descending paralysis with prominent bulbar palsy 4 'D' of Bulbar palsy:

a. Diplopia

b. Dysarthria

c. Dysphonia

d. Dysphagia

3). 'Ptosis, cranial nerve palsies with impairment of extraocular muscles and fixed dilated pupils are characteristic signs'

4). Normal sensory examination normal sensorium (not confused)

5). Afebrile (Temperature remains normal)

6). (Because Botulism is not an 'infection' but on 'intoxication' manifestation are due to the effect of toxin. Patient remains without fever until secondary infection is acquired).

7). Diphtheria Poliomyelitis, & Porphyria may all present with descending paralysis and bulbar palsy but fixed dilated pupils are characteristic of Botulism.

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