Young patient with recent medication addition to treat hallucinations (most likely an antipsychotic), who has fever, encephalopathy, unstable vitals (tachycardia, hypertension), elevated CK, and muscle rigidity, all of which are most consistent with neuroleptic malignant syndrome (secondary to antipsychotics that are dopamine antagonists)
Serotonin syndrome: 3 Aโs (Autonomic dysregulation, Agitation and increased Activity (hyperreflexia, hypertonia, tremor, etc.) in a patient taking any drug that increases serotonin (SSRIs, SNRIs, TCAs, MAO inhibitors, triptans, MDMA, dextromethorphan, meperidine, St. Johnโs wort, ondansetron, tramadol, linezolid, etc.)
submitted by โstep_prep5(246)
https://step-prep.org/tutoring/