Neuroleptic malignant syndrome and serotonin syndrome

A 22-year-old woman is brought from a music festival by paramedics. She is agitated and confused, her temperature is 39.8 °C, pulse 132/min, blood pressure 158/…

Clinical rotations · middle twist

A 34-year-old man is brought to the emergency department six hours after his general practitioner increased his sertraline and added tramadol for back pain. He…

Clinical rotations · middle twist

A 39-year-old man with bipolar disorder is brought to the emergency department one hour after becoming agitated and incoherent. His medicines are sertraline, tr…

Pre-internship · common

A 26-year-old man with schizophrenia stopped taking lorazepam prescribed for recurrent episodes of immobility and mutism. Two days later he is mute, alternates…

Clinical rotations · niche

A 34-year-old woman with schizoaffective disorder becomes restless, sweaty and confused six hours after venlafaxine was increased and tramadol was prescribed fo…

Mechanisms of disease · common