drcrish wrote:
i m working in psy dept as a res.n i hav come accross a pt with this pic
i would add clozapine 2 his resp-d'
eps are usually seen in the initial phase of anti dopamine antipsy
this gentle most probably has a relapse/so i would like 2 addd cloz which acts diff
add a note 2 check his CBC
Hi drcrish.
Thanks for your reply. Actually the right answer is
E. Administer Lorazapam
The explanation says this is:
Catatonic Schizophrenia which is best treated with a Benzo or ECT!
The question at first could seem like Rigidity as a side effect (typical antipsychotics cause EPS), however this patient is on Risperdone, an atypical antipsychotic which is less likely to cause EPS, and furthermore he has been stable on his risperdone for the past few years. If EPS were to show up, Rigidity would occur in the "initial phase" of treatment as you mentioned, so this is not a side effect of medication, rather its the Schizophrenia itself...
I was just interested that Catotonic Schizophrenia is best treated with Benzos and ECT, instead of the antipsychotic meds.
Anything else to add?
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