NEUROPATHY-BOTULISM
SUMMARY
HISTORY
1. Consumption of contaminated food: home canned vegetables, potatoes, fish & preserved sea food
2. Skin wounds: drug use
EXAMINATION
3. Dilated pupils
4. Ptosis, diplopia
5. Bradycardia/hypotension
6. Reduced reflexes
7. Minimal/no sensory features
INVESTIGATIONS
8. Search for toxin in serum, faeces & implicated food
MANAGEMENT
9. Supportive, anti-toxin (best in 1st 24hrs)
Reference(s)
Wilkinson, I., Furmedge, D. and Sinharay, R. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press. Get it on Amazon.
Feather, A., Randall, D. and Waterhouse, M. (2020). Kumar And Clark’s Clinical Medicine. 10th ed. S.L.: Elsevier Health Sciences. Get it on Amazon.
Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
Therapeutic Guidelines. Melbourne: Therapeutic Guidelines Limited. https://www.tg.org.au [Accessed 2021].
