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File: 123096_sep96_decls1_0039.txt
Subject: DETECTION OF MEDICAL DEFENSE AGAINST BIOLOGICAL MATERIALS
Unit: OTSG
Parent Organization: HSC
Box ID: BX003203
Folder Title: DETECTION OF MEDICAL DEFENSE AGAINST BIOLOGICAL MATERIALS
Document Number: 1
Folder Seq #: 21
UNCLASSIFIED
This is followed by a symmetrical, descending, progressive wealmess of the extremities along
with weakness of the respiratory muscles. Development of respiratory failure may be abrupt.
On physical e tion, the patient is alert, oriented, and afebrile. Postural
hypotension may be present. Oculu findings may include ptosis, exmmular muscle
paralysis, and fixed and dilated pupils. Mucous membranes of the mouth may be dry and
crusted. Neurological examination shows @d muscle weakness of the palate, tongue,
larynx, respiratory muscles, and extremities. Deep tendon reflexes vary from intact to
absent. No pathologic reflexes are present, and the sensory examination genemfly is normal
(although reports suggest that obtundation or sensory involvement may sometimes occur).
B. DIAGNOSIS
1. Routine Laboratga Findings
Routine laboratory findings are of no value in diagnosis. Ile cerebrospinai fluid is
normal.
2. Differenfial Diagnosis
The occurrence of an epidemic with large numbers of afebrile patients with
progressive ocular, pharyngeal, respiratory, and muscular weakness and paralysis hints
strongly at the diagnosis. Single cases may be confused with various neuromuscular
disorders such as atypical Gufllain-@ syndrome, myasthenia gravis, or tick paralysis.
14 L,NSSIFIED BY:
UNCLASSIFIED u@,L)R
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Document 109 f:/Week-36/BX003203/DETECTION OF MEDICAL DEFENSE AGAINST BIOLOGICAL MATERIALS/detection of medical defense against biological :1217960927452
Control Fields 17
File Room = sep96_declassified
File Cabinet = Week-36
Box ID = BX003203
Unit = OTSG
Parent Organization = HSC
Folder Title = DETECTION OF MEDICAL DEFENSE AGAINST BIOLOGICAL MATERIALS
Folder Seq # = 21
Subject = DETECTION OF MEDICAL DEFENSE AGAINST BIOLOGICAL
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 = 17-DEC-1996