Table 2.
Disease | Medication Exposure | Shared Clinical Features | Distinguishing Clinical Features |
---|---|---|---|
Serotonin Syndrome | Serotonergic medications | Hypertension | Clonus, hyperreflexia Hyperactive bowel sounds |
Neuroleptic Malignant Syndrome | Dopamine antagonists | Tachycardia | No clonus or hyperreflexia Bradykinesia |
Anticholinergic Toxicity | Acetylcholine antagonist | Hyperthermia | No clonus or hyperreflexia Dry skin Absent bowel sounds |
Malignant Hyperthermia | Halogenated anesthetics Succinylcholine |
Altered mental Status | No clonus or hyperreflexia Extreme muscular rigidity |