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Mini Quiz: Medical Catatonia

Mini Quiz: Medical Catatonia


A 37-year-old female with a history of lupus is admitted to the hospital with rash, arthralgias, and altered mental status. On examination, the patient displays stupor, mutism, posturing, and echopraxia while vital signs, creatine kinase, and brain MRI are all normal. Lorazepam 2mg IV q6 partially improves her symptoms, but higher doses cause more sedation. How would you proceed?

The next step in treatment might include:

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