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q.12________? - sarim

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q.12________? - sarim
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#1
04-18-2014, 01:15 PM
A 28-year-old man is placed on haloperidol after he is diagnosed with schizophrenia. A few days
later his concerned mother brings him back to the psychiatrist because he is exhibiting strange
movements. The physician observes movements that consist of sustained contractions and
twisting motions of his limbs and trunk, with his eyes tonically deviated upward for several
minutes. Which of the following adverse reactions is occurring in this patient?

A. Akathisia
B. Dystonia
C. Neuroleptic malignant syndrome
D. Parkinsonism
E. Tardive dyskinesia
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#2
04-18-2014, 02:38 PM
bb
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#3
04-18-2014, 02:54 PM
B.
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#4
04-18-2014, 03:42 PM
BB
Twisting motions of limbs.
Thank youSmile
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#5
04-18-2014, 04:06 PM
BB......EPS

Why can't it be Tardive Dyskinesia? Smile


Sarim: Thank you for all the Qs Smile
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#6
04-18-2014, 08:57 PM
It is Tardive dyskinesia but better answer is Tardive dystonia because there are twisting motions. Not sure.
ThanksSmile
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#7
04-18-2014, 09:52 PM
Hi medicus. My main point here is that TD usually needs months to years on antipsychotic treatment before it develops.
Patients on high-potency First-generation antipsychotics should regularly be assessed for TD as an attempt to prevent it. Smile
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#8
04-18-2014, 10:00 PM
Hi Pshychmledr,
Didnt see " a few days later". In that case donno how dystonia will be a correct answer. Or
I guess I was wrong thinking that dystonia is a part of Tardive dyskinesia. Had I noticed " a few days later" I would have selected Akathisia.
Thanks for asking this Q.
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#9
04-18-2014, 10:27 PM
Its dystonia because here we have sustained contraction and twisting.
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#10
04-18-2014, 10:34 PM
Right. Please take a few minutes and check these links. They can be helpful to differentiate the movements.

Recognizing Extrapyramidal Symptoms
http://www.youtube.com/watch?v=WAg2iLEWVh0

Acute Dystonia
http://www.youtube.com/watch?v=Gjiy1rDZpp8
http://www.youtube.com/watch?v=JetIwYqlUos

Akathisia
http://www.youtube.com/watch?v=pSXzuCNlI6Q
http://www.youtube.com/watch?v=1oUFX2dNyW4

Tardive dyskinesia
http://www.youtube.com/watch?v=t_NKRS8lLWA

Tardive Dyskinesia
http://www.nami.org/Template.cfm?Section...tID=145759
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