05-14-2011, 09:55 AM
34. Two days after admission to the hospital
because of a 3-day history of slurred speech, double vision, and
dysphagia, a 24-year-old woman becomes quadriplegic and requires intubation and
mechanical ventilation. Her medical history is unremarkable.
One week ago, she attended a family picnic; several of her family members have had
abdominal cramps and diarrhea since the picnic. Her temperature is 37
C (98.6 F), blood pressure is 120/80 mm Hg, and pulse is 120/min.
Examination shows dry mucous membranes, large unreactive pupils,
ophthalmoplegia, and profound facial weakness. There is areflexia,
quadriplegia, and no movement of the palate and tongue. Sensation is normal.
Babinski's sign is absent. Which of the following is the most
appropriate pharmacotherapy?
A) Antitoxin
B) Azathioprine
C) Interferon
D) Pyridostigmine
E) Riluzole
What is the diagnosis? Is it botulisim?
because of a 3-day history of slurred speech, double vision, and
dysphagia, a 24-year-old woman becomes quadriplegic and requires intubation and
mechanical ventilation. Her medical history is unremarkable.
One week ago, she attended a family picnic; several of her family members have had
abdominal cramps and diarrhea since the picnic. Her temperature is 37
C (98.6 F), blood pressure is 120/80 mm Hg, and pulse is 120/min.
Examination shows dry mucous membranes, large unreactive pupils,
ophthalmoplegia, and profound facial weakness. There is areflexia,
quadriplegia, and no movement of the palate and tongue. Sensation is normal.
Babinski's sign is absent. Which of the following is the most
appropriate pharmacotherapy?
A) Antitoxin
B) Azathioprine
C) Interferon
D) Pyridostigmine
E) Riluzole
What is the diagnosis? Is it botulisim?