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File: 123096_sep96_decls1_0039.txt
Page: 0039
Total Pages: 109

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