ADR exam 2

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Author:
Jjanggoo83
ID:
246812
Filename:
ADR exam 2
Updated:
2013-11-14 00:25:01
Tags:
serotonin syndrome related clinical manifestations
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Description:
manifestations of serotonin syndrome
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  1. condition developed <12 hours
    • serotonin syndrome 
    • anticholinergic toxidrome

    time need for condition to develop
  2. 1-3 days
    NMS 

    time for condition to develop
  3. 30min. - 24 hours
    Malignant hyperthermia

    time for condition to develop
  4. hypertension, tachypnea, hyperthermia (>106 F)
    serotonin syndrome 

    vital signs
  5. Hypertension (mild), tachycardia, tachypnea, T=101.8 or less
    Anticholinergic toxidrome

    vital signs
  6. hypertension 
    tachycardia
    tachypnea, hyperthermia (> 106F)
    NMS 

    vital signs
  7. Hypertension, tachycardia, tachypnea, hyperthermia (as high as 114.8)
    Malignant hyperthermia 

    vital signs
  8. mydriasis
    • serotonin syndrome
    • anticholinergic toxidrome

    pupils
  9. pupils normal
    • NMS
    • maligant hyperthermia

    pupils
  10. mucosa sialorrhea
    • serotonin syndrome
    • NMS 

    mucosa
  11. Dry mucosa
    Anticholinergic toxidrome 

    mucosa
  12. Normal mucosa
    malignant hyperthermia 

    mucosa
  13. diaphoretic
    • serotonin syndrome
    • NMS
    • Malignant hyperthermia

    Skin
  14. Erythema, hot and dry to touch
    Anticholinergic toxidrome 

    skin
  15. Pallor
    NMS 

    skin
  16. mottled appearance
    Malignant hyperthermia 

    skin
  17. hyperactive bowel sounds
    Serotonin syndrome 

    Bowel sounds
  18. decreased or absent bowel sounds
    • anticholinergic toxidrome 
    • Malignant hyperthermia 

    bowel sounds
  19. Normal or decreased bowel sounds
    NMS 

    bowel sounds
  20. neuromuscular tone increased, predominant in lower extremities
    serotonin syndrome 

    Neuromusclar tone
  21. Normal nueromuscular tone
    Anticholinergic toxidrome

    neuromuscular tone
  22. " Lead-pipe " rigidity present in all muscle groups
    NMS 

    neuromuscular tone
  23. neuromuscular tone - Rigor mortis-like rigidity
    malignant hyperthermia 

    neuromuscular tone
  24. hyperreflexia, clonus
    • serotonin syndrome
    • reflexes
  25. normal reflexes
    • anticholinergic toxidrome 
    • reflexes
  26. bradyreflexia
    • NMS
    • reflexes
  27. Hyporeflexia
    • Malignant hyperthermia 
    • reflexes
  28. Agitation, coma
    serotonin syndrome 

    mental status
  29. agitation, delirium
    • Anticholinergic toxidrome 
    • mental status
  30. stupor, alert mutism, coma
    NMS 

    mental status
  31. Agitation alone
    Malignant hyperthermia 

    mental status
  32. agitation
    • serotonin syndrome, anticholiergic toxidrome
    • malignant hyperthermia 

    mental status.

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