malinda
Forum Guru
Topics: 162
Posts: 654
|
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
___________________
I CAN DO IT.
|
| mjl1717
Forum Hero
Topics: 959
Posts: 5,467
|
my reflex response is tardive dyskinesia.. I like to hear a sharp doc define akathisia and dystonia.
neuroleptic mali. has to do with antipsychotics causing arrythmias and hypertension
Parkinson is a defect in the nigrostriatal dopaminergic pathway
___________________
Smell the coffee! "Is That an Osler move??"
|
| malinda
Forum Guru
Topics: 162
Posts: 654
|
My first response is also tardive dyskinesia...
akinesia is restlessness,inability to sit still and involuntry repetitive,stereotypal movements...it occurs in a few montsh of therapy.
dystonia I really feel like inhibition of muscle functioning.as if muscles are weak..It sounds like that..I would like someone else to define that
___________________
I CAN DO IT.
|
| anjushree
Forum Guru
Topics: 64
Posts: 386
|
ans is DYSTONIA
SUSTAINED muscle contr,twisting motion of limbs,trunk,,,,oculogyric crisis are feature of dystonia ....develop within first few days of t/t
akathesia is described above
tardive dyskinesia isinvoluntary choreoathetoid movement,,,,smacking sound of face,lips,tongue &also tongue protusion
|
| Doc2378
Forum Guru
Topics: 46
Posts: 688
|
I agree...Dystonia
___________________
Courage does not always ROAR. Sometimes courage is the quiet voice at the end of the day saying, "I will try again tomorrow" - Mary Anne Radmacher
|
| sturge_weber
Forum Guru
Topics: 77
Posts: 1,042
|
tardive dyskinesias take years to develop, though the symptoms may quite be the same
|
| malinda
Forum Guru
Topics: 162
Posts: 654
|
dystonia correct
___________________
I CAN DO IT.
|
| sturge_weber
Forum Guru
Topics: 77
Posts: 1,042
|
its basically asking that if the patient comes with these complaints , after 2-3 days it will be dystonia, whereas the tardive dyskinesia which has the same features will take years to develop
|
| robin082006
Forum Hero
Topics: 471
Posts: 5,123
|
yes dystonia
___________________
The Key to Succeed is Patience.
|
| ed222
Forum Senior
Topics: 4
Posts: 147
|
Dystonia-few days
Akathisia-few months
T.D.-many months or years
|
|
| |
| | | | | | | | | | |
Similar forum topics