Today morning we discussed the differences between Serotonin syndrome, Neuroleptic malignant syndrome and acute dystonias.
Some of us shared our clinical experiences and what our preferences were in the Diagnosis & Treatment of Dystonia.
Treatment protocols for each were discussed and some thoughts on prophylactic use were brought up.
An interesting case of an elderly woman with a history of schizophrenia with a recent diagnosis of squamous cell carcinoma was presented. Notable characteristics of her symptoms were discussed and mention was made of her habit of organizing the sugar packets and the toilet roll in her room and her habit during interviews of bringing up a concern and before it could be addressed she would move on to another topic. (Eg. Dialysis peg on her bed) decreased sleep, auditory and visual hallucinations. Overall patient was a poor historian. Physical exam was notable for bilateral upper extremity intentional tremors. Pt's treatment with Navane (thiothixene) and olanzapine was mentioned.
A short mention of how "Structure binds affect" was made.
A differential of mania, Paraneoplastic syndrome, distant brain mets, alcohol/Benzo withdrawal, neurosyphilis, substance abuse, etc was brainstormed.
One of the questions that came up during this meeting was the use of Bromocriptine and why we do not use other Dopamine Agonist of the same class for the same indication.
What are your thoughts, let us know in the comments below.
Some of us shared our clinical experiences and what our preferences were in the Diagnosis & Treatment of Dystonia.
Treatment protocols for each were discussed and some thoughts on prophylactic use were brought up.
An interesting case of an elderly woman with a history of schizophrenia with a recent diagnosis of squamous cell carcinoma was presented. Notable characteristics of her symptoms were discussed and mention was made of her habit of organizing the sugar packets and the toilet roll in her room and her habit during interviews of bringing up a concern and before it could be addressed she would move on to another topic. (Eg. Dialysis peg on her bed) decreased sleep, auditory and visual hallucinations. Overall patient was a poor historian. Physical exam was notable for bilateral upper extremity intentional tremors. Pt's treatment with Navane (thiothixene) and olanzapine was mentioned.
A short mention of how "Structure binds affect" was made.
A differential of mania, Paraneoplastic syndrome, distant brain mets, alcohol/Benzo withdrawal, neurosyphilis, substance abuse, etc was brainstormed.
One of the questions that came up during this meeting was the use of Bromocriptine and why we do not use other Dopamine Agonist of the same class for the same indication.
What are your thoughts, let us know in the comments below.
Nice summary. I have to look up the answers to some of the above questions.
ReplyDeleteThank you Dileep!
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