So you get this guy, 23 yo M with schizophrenia and depression brought to ED by Mom for “acting strange”. Mom reports a recent change in his psychiatric medication, but does not know the specifics.
Patient is agitated and not responding to your questions appropriately
VS: T 103.8, HR 120, RR 23, BP 200/120, 100% on RA
PE: does not follow commands, diaphoretic, tremulous, shivering, with occasional myoclonus.
Diagnosis?
How do you diagnose?
How do you treat?
What related syndrome should be considered?
By Dr. Andrew Grock, Dr. Sally Bogoch, and guest co-author Dr. Nathan Reisman
References
Golfrank’s toxicology, 9th ed
andygrock
- Resident Editor In Chief of blog.clinicalmonster.com.
- Co-Founder and Co-Director of the ALiEM AIR Executive Board - Check it out here: http://www.aliem.com/aliem-approved-instructional-resources-air-series/
- Resident at Kings County Hospital
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