Snapshot A 30-year-old woman presents to the emergency room for blurry vision. She reports that she had been watching a movie when she started seeing double and had difficulty swallowing her popcorn. She recently visited a farm, where she bought and consumed numerous pickles, jams, and cheeses. She states that her arms and face also feel weak. On physical exam, she has symmetric facial weakness, with drooping eyelids. She also has bilateral arm weakness, with loss of deep tendon reflexes. Presentation Symptoms login to view 1 more bullet Physical exam login to view 15 more bullets Studies Labs login to view 3 more bullets Making the diagnosis login to view 1 more bullet Differential Guillain-Barré syndrome login to view 2 more bullets Treatment Management approach login to view 1 more bullet Medical login to view 3 more bullets Complications Respiratory paralysis Permanent paralysis