A 4-year-old boy is brought to ED by his mum with ataxia.

Tick paralysis

1. Give (2) potentially life-threatening complications that might arise from this clinical scenario. 2 marks

2. List (3) other potential complications. 3 marks

3. Give (4) important differentials of acute ataxia in this age group. 4 marks

4. Outline your principles for removal assuming child is appropriately analgesed. 3 marks