A 59 y.o m with a hx of bipolar on wellbutrin and paxil presents with altered mental status. On exam he is found to be tachycardic, hypertensive, diaphoretic, and flushed. He has a fever to 38.1. He has clonus on exam as well as hyperreflexia and rigidity in his bilateral lower extremities. He requires intubation …
AOMC FOAMed 
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