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Old 04-14-2012
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Default NMS and serotonin syndrom

NMS and serotonin syndrom
, how to deffrentiate between them only by clinical sign
I know that u world said that NMS has no myoclonus but serotonin syndrome has it
, other way????
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Old 04-14-2012
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NMS - schizo-related
Serotonin syndrome - depression-related.
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Old 04-14-2012
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Quote:
Originally Posted by Dr.NickRiviera View Post
NMS - schizo-related
Serotonin syndrome - depression-related.

yes but suppose a question giving u signs and symptoms of toxicity and only mention Psychiatric disease with no much details

my question is is there a way to diffrentiate only from signs and symptoms of toxicity??
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Quote:
Originally Posted by Dr.NickRiviera View Post
NMS - schizo-related
Serotonin syndrome - depression-related.
That will be in the history.
You can differentiate clinically by the fact that
NMS will have rigidity while
SS will have myoclonus

I remember Serotonin Syndrome with my own mnemonic of AAN (American Academy of Neurology)
A - Altered mental status - confused, agitated
A - Autonomic instability - tachycardia, hypertension, hyperthermia
N - Neuromuscular excitability - hyperreflexia, myoclonus (e.g. ankle clonus)

+/- (put in what ever other symptom you want, like diarrhea :P)

There's also a mnemonic for NMS - FEVER.
F - Fever
E - Encephalopathy
V - Vitals unstable
E - Elevated enzymes (CPK)
R - Rigidity
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