<prompt> An 22 year old female complains of double vision and difficulty talking. On examination, there is symmetrical descending paralysis, Quadriparesis with areflexia, pupils are non reactive. Diagnosis isTetanusStrychnineDiphtheriaBotulism  <response>: Flaccid paralysis quadriparesis with blurring of vision, areflexia and non-reactive pupils suggestive of botulism. 