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Life Threatening? No
Write-up: Dystonic reaction treated with IV Benadryl then PO Valium in ER. Second ER visit 2/18/07 treated with Cogentin. Symptoms resolved after 12 days. 03/21/07-records received from ER facility for services provided on 3/18 and 3/21/07-DX:Dystonic reaction. HX: involuntary spasms, seen in ER day prior. DX at that time dystonic reaction. treated with benadryl and valium. Had 5 doses of valium, now spasms with eyes rolling. Current medications Lexapro. Allergy: Phenergan (dystonic and psychotic reaction). Neuro exam normal. Spasms observed, eye rolling. DC with cogentin. 2/21/07 seen in ER DX: dystonic medication versus vaccine reaction. Neuro exam normal. No spasm observed. Schedule MRI. 04/11/07-records received from ER for DOS 2/16/07-placed on Lexapro 2 weeks prior to ER visit. C/O erratic jerking moments. Upper body and shoulders. Voluntary control of arms and shoulders, legs and neck intact. HX depression. Additional findings: Facial and left arm muscles contracting spontaneously. DX: Dystonic drug reaction. Discontinue Lexapro.
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