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 NSIM Doc ?  

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After a loving grand-mother gave honey to her 8 month old grand-son while mom went shopping , the baby develops constipation , poor suckling , weak crying , descending symmetric paralysis and hypotonia .

What is the next step in management ?

a ) IV ampicillin and Gentamicin

b ) Metronidazole and Gentamicin

c ) Equine Derived Botulinum Antitoxin

d ) Supportive Care

e ) Tetanus Vaccin and Toxoid


Antitoxin must be administered asap to prevent diaphragmatic paralysis!


c ) Equine Derived Botulinum Antitoxin


Should be D; equine derived botulinum antitoxin is not used to treat infants ( for kids is a human derived antitoxin)!


Interesting---Wat is the asnwer doc?


The correct answer is : D

For the exact explanation given by NE .This is from UW

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