5239 results
REBEL Review 99: Serotonin Syndrome via Yosuf Alam, MSIV

Presentation: Altered mentd status, Seizures, Myoclonus, Hypertension, Hyperthermia
Hyperthermia (most common cause ... of death), Hyperreflexia ... SerotoninSyndrome #management
Reflex Testing - Causes of Hyporeflexia and Hyperreflexia
Focal Hyporeflexia: 
 • Radiculopathy, Mononeuropathy, Polyneuropathy, Acute stroke,
Reflex Testing - Causes ... of Hyporeflexia ... and Hyperreflexia ... Deep coma (any cause ... #Testing #Causes
Hypermagnesemia - Diagnosis and Management

Hypermagnesemia is a serum magnesium concentration > 2.6 mg/dL.
Symptoms include hyporeflexia, hypotension,
Diagnosis and Management ... Symptoms include hyporeflexia ... mortality in ICU Causes ... helpful in severe cases ... Hypermagnesemia #Diagnosis #Management
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
Amyotrophic Lateral Sclerosis (ALS) Summary
ALS: combination of the clinical examination finding of amyotrophy with the pathologic
- Causes progressive ... Weakness + slowness, Hyperreflexia ... Escorial criteria uses ... neurology #diagnosis #management
Hyperreflexia in serotonin syndrome

- Dr. David Juurlink @DavidJuurlink

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

Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
: • 1400 new cases ... • 75-90% of cases ... absent initially -> Hyperreflexia ... • Infectious causes ... Myelitis #diagnosis #management
Causes of Peripheral Weakness - With and Without Sensory Changes - Differential Diagnosis Algorithm
With Sensory Changes:
Causes of Peripheral ... Fasciculations, Hyperreflexia ... Diagnosis #Algorithm #Causes
Serotonin Syndrome
 - Rapid onset 
 - Combination of 2+ serotonin agonists 
Mental status changes:
- Clonus - Hyperreflexia ... Syndrome #Diagnosis #Management