1927 results
Hyperreflexia in serotonin syndrome

- Dr. David Juurlink @DavidJuurlink

#Hyperreflexia #serotonin #syndrome #PhysicalExam #Clinical #Video #Knee #Reflexes
Hyperreflexia in ... DavidJuurlink #Hyperreflexia ... serotonin #syndrome #PhysicalExam
Exaggerated Left Brachioradialis Reflex on Physical Exam 

#Brachioradialis #Reflex #hyperreflexia #PhysicalExam #clinical #video #forearm #neurology
Brachioradialis #Reflex #hyperreflexia ... #PhysicalExam #
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Adie's Pupil + Hyporeflexia ... #Adies #Pupil #PhysicalExam
Reflex Testing - Causes of Hyporeflexia and Hyperreflexia
Focal Hyporeflexia: 
 • Radiculopathy, Mononeuropathy, Polyneuropathy, Acute stroke,
Testing - Causes of Hyporeflexia ... and Hyperreflexia ... Focal Hyporeflexia ... injury Generalized Hyporeflexia ... #Hyperreflexia
Serotonin Syndrome - THINK: FAST
 - FAST onset
 - FAST movements (agitation, akathisia, HYPERreflexia)
 - FAST
agitation, akathisia, HYPERreflexia ... movements and HYPOreflexia
When trying to differentiate between the two conditions think “FAST” with Serotonin Syndrome and “SLOW” with
agitation, akathisia, HYPERreflexia ... movements and HYPOreflexia
Serotonin Syndrome
 - Rapid onset 
 - Combination of 2+ serotonin agonists 
Mental status changes:
- Clonus - Hyperreflexia
Myelopathy - Injury to the entire spinal cord - Signs and Symptoms
 • Ataxia (early sign)
baseline) • Hyperreflexia
Selective Serotonin Reuptake Inhibitors: Mechanisms and Side Effects
 • Serotonin Syndrome:
   - Autonomic Hyperactivity:
Clonus, Tremor, Hyperreflexia
Reflexes - Deep Tendon Reflexes on Newborn Physical Exam 
Testing deep tendon reflexes is an important
important finding than hyperreflexia ... newborn can have hyperreflexia ... Reflex #Newborn #PhysicalExam