Snapshot A 40-year-old man presents to the emergency room for blurry vision. He reports that the blurry and double vision started this morning along with nausea and vomiting. He also reports feeling weak in his arms. Upon further questioning, he recently ate a can of beans from his aunt in Alaska, where they run their own food storage business. On physical exam, there is bilateral ptosis and facial weakness. There is also bilateral upper arm weakness with absent deep tendon reflexes. His mental status is intact. His physician immediately administers antitoxin treatment for the disease. Introduction Classification login to view 8 more bullets Epidemiology login to view 7 more bullets Pathogenesis login to view 14 more bullets Associated conditions login to view 3 more bullets Presentation Symptoms login to view 3 more bullets Physical exam login to view 15 more bullets Studies Labs login to view 4 more bullets Making the diagnosis login to view 1 more bullet Differential Guillain-Barré syndrome login to view 2 more bullets Bacterial meningitis in neonates login to view 2 more bullets Treatment Management approach login to view 1 more bullet Medical login to view 6 more bullets Complications Respiratory paralysis Permanent paralysis