Month: July 2017

Morning report 7/20/17

Morning report 7/20/17

37 year-old male who, 48 hours after a GI illness, developed fixed, dilated pupils, dysphagia, and bilateral ptosis, with progression to neuromuscular hypercapnic respiratory failure. Diagnosis: foodborne botulism. Teaching points: Botulism toxin blocks Ach release at presynaptic neurons and at the NMJ = motor and endocrine symptoms Foodborne botslism presents with: GI prodrome à 12-36 … Continue reading Morning report 7/20/17

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