{"ops":[{"insert":"A 30 year old woman presents with double vision, difficulty in swallowing, difficulty in speaking, and a dry mouth for 1 day, in a background of episodic nausea and vomiting for 2 days.\n\nClose questioning reveals a history of eating out 2 days ago along with 3 friends, one of whom was admitted to another hospital with similar symptoms just today.\n \nThere is no history of alcohol abuse, recreational drug use or snake bite. Her medical and family histories are completely unremarkable.\n"},{"insert":"\n"},{"insert":{"image":"\/storage\/case-images\/pd\/PD-M-038_en.png"}},{"insert":"\n"}]}
2
Investigate
Electrodiagnostic Studies Upper Limbs
{"ops":[{"insert":"NCS shows a normal nerve conduction velocity and normal sensory nerve function. EMG shows a pattern of brief, small amplitude motor potentials, and an incremental response to repetitive stimulation seen on the high frequencies (20-50\u2005Hz).\n"}]}
CSF Analysis
{"ops":[{"insert":"The CSF test results are within normal parameters.\n"}]}
