DIAGNOSIS AND TREATMENT OF EXOTIC DISHES

File: 121096_sep96_decls39_0024.txt
Page: 0024
Total Pages: 24

Subject: DIAGNOSIS AND TREATMENT OF EXOTIC DISHES                        

Unit: OTSG        

Parent Organization: HSC         

Box  ID: BX003203

Folder Title: DIAGNOSOS AND TREATMENT OF EXOTIC DISEASES                                                      

Document Number:          1

Folder Seq  #:        180







                                   Paralysis in the BW/CW Setting


                  The differential diagnosis must include both botulinum and nerv(

           intoxications.
                  a: Nerve agent is rapid in onset (minutes to 1-2 hrs). A rigid p         5
           develops, with parasympathetic excess (salivation, miosis, sweating, iff        XY
           defecation, and urination); central nervous system dysfunction and deat
           follow. If exposure is by aerosol or vapor, constricted pupils, rhinorri        i

           bronchoconstriction also occur.

                  b: Botu@um toxin is slower     in onset (3 hrs to several days).
           Descending paralysis (bulbar to extremities to respiratory) and parasym
           blockade (dry mouth, pupillary dilation, constipation, urinary retention,        @e
           of sweating) are characteristic. Paralysis, nausea, vomiting, and diarrh
           however, occur after exposure to either nerve agent or botu@um toxin.
           Central signs (confusion, seizure, coma) are rare after botulinum, but ci
           after nerve agent intoxication.
                  c: Anticholinergics such as atropine can, of course, cause centr2
           nervous system changes such as agitation, confusion, and hallucinations          I
           as dry mouth, dry skin, and constipation. These changes could easily ol
           the correct diagnosis in a soldier who used his injector even without exp

           to an agent.











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Document 24 f:/Week-36/BX003203/DIAGNOSOS AND TREATMENT OF EXOTIC DISEASES/diagnosis and treatment of exotic dishes:12069615360440
Control Fields 17
File Room = sep96_declassified
File Cabinet = Week-36
Box ID = BX003203
Unit = OTSG
Parent Organization = HSC
Folder Title = DIAGNOSOS AND TREATMENT OF EXOTIC DISEASES
Folder Seq # = 180
Subject = DIAGNOSIS AND TREATMENT OF EXOTIC DISHES
Document Seq # = 1
Document Date =
Scan Date =
Queued for Declassification = 01-JAN-1980
Short Term Referral = 01-JAN-1980
Long Term Referral = 01-JAN-1980
Permanent Referral = 01-JAN-1980
Non-Health Related Document = 01-JAN-1980
Declassified = 06-DEC-1996