Deep tendon reflexes

(BQ) Continued part 1, part 2 of the document Surface and living anatomy presents the following contents: Superficial veins of the lower limb, bony features of the axial skeleton, bony features of the axial skeleton, anatomical spaces, deep tendon reflexes, bony features of the axial skeleton, arteries of the head and neck,...

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Diagnosis A diagnosis of botulism must be considered in patients with symmetric descending paralysis who are afebrile and mentally intact. The bulbar musculature is involved initially, but sensory findings are absent and, early on, deep tendon reflexes remain intact. The differential diagnosis of botulism and distinguishing features are listed in Table 134-2. Depending on season and other epidemiologic factors, West Nile virus infection may also be a consideration.

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