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a test of metal…

May 11, 2013 By Christopher Partyka Leave a Comment

The case.

64 year old female who is day 1 post elective left total-knee replacement. She has a past medical history of osteoarthritis, bipolar disorder and depression for which she takes quetiapine, lithium and paracetamol. You are asked to see her on the ward for optimization of her pain management with a concern that she “just isn’t quite right” with confusion & new onset of word finding difficulties.

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Filed Under: Toxicology Tagged With: lithium, lithium toxicity, myoclonus, serotonin syndrome

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