Approach to medication-induced movement disorders Quiz: Ace Your Exams
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A 29-year-old man present to his psychiatrist's office for a scheduled follow-up visit. The patient has a history of schizoaffective disorder, bipolar type, that was diagnosed during a recent admission to the local psychiatric inpatient unit. The patient was discharged from the unit on aripiprazole, which he reports adequately controls his psychiatric symptoms. However, he has developed muscle stiffness and intermittent neck spasms on the right and difficulty rotating his head. Temperature is 36.7°C (98.1°F), pulse is 60/min, respirations are 16/minute, and blood pressure is 130/75 mmHg. Physical examination shows an adult who appears his stated age and is calm and cooperative. Musculoskeletal exam reveals mild discomfort and muscle spasm at the right neck and limited rotation of the neck during active and passive range of motion testing, The patient’s head stays in a neutral position at rest. Which of the following is the most appropriate next step in management?
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