Have been acting strangely

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Reference no: EM133879504

Question

A 32-year-old patient is brought to the ED by their partner because they "have been acting strangely." The patient has a past medical history of depression that is well controlled with fluoxetine (Prozac). The partner reports that the patient has had a cold and took over-the-counter cough medication a few hours before the onset of their symptoms. The patient is agitated and confused. Their blood pressure is 160/80 mm Hg, pulse is 140 beats per minute, and temperature is 39°C. The patient is flushed, and their pupils are dilated. They have clonus and hyperreflexia in their lower extremities, as well as a tremor in their hands. What is the most likely diagnosis? Malignant hyperthermia Neuroleptic malignant syndrome Serotonin syndrome Tyramine drug reaction.

Reference no: EM133879504

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