Case 1

An SHO asks you to assess a patient who may have developed an acute dystonic reaction.

The patient is a 20-year-old Asian male who presented to the ED intoxicated with alcohol and complaining that he hasn’t slept, eaten or drunk for the last 24 hours.

He has a previous history of dystonia and had been commenced on olanzapine for cocaine-induced psychosis three days ago.

Which of the following are the four most common manifestations of acute dystonia?

Select one or more options.

What risk factors does this patient have that make acute dystonia the most likely diagnosis?

Select one or more options.

Can you list one of each type of drug that could be responsible for this patient’s presentation?

You should try and identify one drug from the following categories:

Antiemetic

Anticonvulsant

Antibiotic

Drug of abuse

Antimalarial

An over the counter medication