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Episode 287: RLR – Febrile and Rigid – an episode dedicated to our Rafa Medina

The Clinical Problem Solvers

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The Clinical Syndrome of Hyperthermia

The patient was in the OR at the hospital, and then they transferred her from the operating room to the ED. We could say a patient who is hyperactive. She's given one dose of two milligrams of adivant, and actually gets a little bit calmer and responds well to that. And what danturine does is basically relaxes those skeletal muscles because you just don't want the patient's temperature to rise too much. The next CK may be 20,000, and maybe that results in myoglobin, nuria, and kidney injury.

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