Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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Hyperthermic Syndromes - This table summarizes the similarities and differences between some toxicologic causes of hyperthermic
Hyperthermic Syndromes ... - This table summarizes ... differences between some toxicologic ... #Comparison #Table ... #Diagnosis #Toxicology
Signs and Symptoms of Toxidromes

Sympathomimetic / GABAergic withdrawal 
Cholinergic 
Anticholinergic 
Opioid withdrawal 
Neuroleptic malignant syndrome 
Serotonin
Neuroleptic malignant syndrome ... Serotonin syndrome ... Toxidromes #Comparison #Table ... Sympathomimetics #Diagnosis ... #Toxicology
Toxidromes Summary Table
Heart Rate - Respiratory Rate - Blood Pressure - Mental Status - Skin -
Toxidromes Summary Table ... β€’ Serotonin Syndrome ... Toxidromes #comparison #table ... #toxicology #diagnosis
Serotonin Syndrome - THINK: FAST
 - FAST onset
 - FAST movements (agitation, akathisia, HYPERreflexia)
 - FAST
Serotonin Syndrome ... Neuroleptic Malignant Syndrome ... NeurolepticMalignant #Syndrome ... #Diagnosis #Toxicology ... #Comparison #Differentiate
The RIGID patient: tetanus mimics
 - Serotonin Syndrome
 - Neuroleptic Malignant Sx
 - Malignant Hyperthermia
 -
- Serotonin Syndrome ... mimics #comparison #table ... rigid #patient #differential ... #diagnosis
A toxidrome is a syndrome (set of symptoms) caused by specific medications or toxins.

There are 5
toxidrome is a syndrome ... antihistamines #Diagnosis ... #Toxicology #Toxidromes ... #Comparison #Table
When trying to differentiate between the two conditions think β€œFAST” with Serotonin Syndrome and β€œSLOW” with
When trying to differentiate ... with Serotonin Syndrome ... Serotonin Syndrome ... resolution #Diagnosis ... NeurolepticMalignant #Comparison #Table
Purple Urine Bag Syndrome
Chronic, indwelling catheter + bacteriuria (Providencia, Klebsiella, E.coli*) + alkaline urine
Tryptophan β†’ Indoxyl
Purple Urine Bag Syndrome ... Purple #Urine #Bag #Syndrome ... #PUBS #pathophysiology ... clinical #photo #differential ... #diagnosis
Serotonin Syndrome Drug Precipitants and Pharmacology
↑ Serotonin Formation: Tryptophan, Oxitriptan
↑ Serotonin Release: Amphetamines, Cocaine, Mirtazapine
↑ Serotonin
Serotonin Syndrome ... Precipitants and Pharmacology ... #Pharmacology # ... medications #causes #differential ... #diagnosis #drug
Common sodium channel blockers which cause QRS widening.

Anticonvulsants: 
 - Carbamazepine 
Antidysrhythmics:  
 - Group
widening #ECG #EKG #Pharmacology ... #Medications #Toxicology ... #Diagnosis #Differential