2007 results
Algorithm for the Diagnosis of Serotonin Syndrome
 - Serotonin syndrome is thought to be caused by
with SS include: hyperreflexia ... - Hyperreflexia ... initiation of treatment ... Syndrome #Algorithm #Symptoms
Hyperthyroidism Overview

Clinical Manifestation of Hyperthyroidism:
 • Fatigue
 • Weight loss
 • Heat intolerance
 • Depression, nervousness
↑ AST/ALT • Treatment ... visual acuity • Hyperreflexia ... tenderness Treatment ... endocrinology #signs #symptoms
Multiple Sclerosis - Summary

Multiple Sclerosis (MS) is an autoimmune-mediated neurodegenerative disease of the central nervous system
• UMN signs (Hyperreflexia ... defect SIGNS/SYMPTOMS ... Signs and symptoms ... Multiple Sclerosis Treatment ... management #neurology #treatment
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
Hypermagnesemia - Diagnosis and Management

Hypermagnesemia is a serum magnesium concentration > 2.6 mg/dL.
Symptoms include hyporeflexia, hypotension,
Symptoms include ... hyporeflexia, hypotension ... antacids, or enemas, Treatment ... Addison's disease) Treatment
Serotonin Syndrome - THINK: FAST
 - FAST onset
 - FAST movements (agitation, akathisia, HYPERreflexia)
 - FAST
agitation, akathisia, HYPERreflexia ... movements and HYPOreflexia
Amyotrophic Lateral Sclerosis (ALS) Summary
ALS: combination of the clinical examination finding of amyotrophy with the pathologic
Weakness + slowness, Hyperreflexia ... fasciculations Common Symptoms ... diagnosis column Treatment
When trying to differentiate between the two conditions think “FAST” with Serotonin Syndrome and “SLOW” with
agitation, akathisia, HYPERreflexia ... movements and HYPOreflexia
Myelopathy - Injury to the entire spinal cord - Signs and Symptoms
 • Ataxia (early sign)
cord - Signs and Symptoms ... baseline) • Hyperreflexia ... diagnosis #signs #symptoms
Hyperreflexia in serotonin syndrome

- Dr. David Juurlink @DavidJuurlink

#Hyperreflexia #serotonin #syndrome #PhysicalExam #Clinical #Video #Knee #Reflexes
Hyperreflexia in ... DavidJuurlink #Hyperreflexia