Views : 31,483
Genre: Education
Date of upload: Sep 26, 2021 ^^
Rating : 4.929 (15/827 LTDR)
RYD date created : 2022-01-24T05:48:58.691417Z
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Top Comments of this video!! :3
Learned all about serotonin syndrome in medical school but until you see it the first time and have it in the back of your mind, it can be hard to recognize! We recently had a cancer patient who was on citalopram, trazodone, olanzapine, and recently started on duloxetine for neuropathic pain who ended up coming in with altered mental status. Our attending noticed her hyperreflexia which kind of clinched the diagnosis. I don't typically check reflexes all that often so I definitely learned that I should add that to my repertoire.
Also regarding the EMR notifications - I totally agree that they can become so burdensome and the default is to ignore them 99% of the time. They really are important though and hopefully the EMR can continue to be improved so they become more useful rather than just bloat. That part where you discussed all the potential medication complications that can occur if we aren't careful . . . it just made me realize how scary it can be with how much potential harm we can do to patients if we aren't careful with even just a simple new medication prescription.
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I was one of the rare cases needing mechanical ventilation. I was on the vent for 9 days and even coded once. My serotonin syndrome went undiagnosed for a couple years until I lost the ability to move, speak and open my eyes. Then I became very rigid and had upper, lower and ocular clonus and lost consciousness.
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@term531
4 months ago
September 18, 2022 is my second birthday. My symptoms lasted for 20 hours, I passed out countless times, I was shaking UNCONTROLLABLE, I had diarrhea, my heart wanted to jump out, but at the same time I couldn't stand on my feet. When I was conscious I prayed to God to forgive my sins if this is the time for me to leave. After everything, they told me in the emergency room that it was a panic attack, countless infusions, because I was in two hospitals. I knew it wasn't because I was passing out all day. I was on anti-depressants and migraine medication, both of which have high doses of serotonin. I thank God for a second chance, and I am afraid of the incompetence of our doctors. 18.09. is the date of my patron saint and I know who saved my life then. Since then, I've been fighting and struggling with panic attacks, but that day was not one of them.
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