9 assessment and care of musculoskeletal problems.
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Biomedical subjects
Publications and source records attributed to C R FitzSimmons.
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Well known clinical syndromes can be produced by overdose with more commonly ingested substances such as opiates or tricyclic antidepressants. A case of a much more unusual syndrome presenting to the accident and emergency department resulting from overdose with a combination of tablets is reported. The clinical presentation of serotonin syndrome and its management are described. This resulted from acute ingestion of paroxetine, a selective serotonin reuptake inhibitor, and moclobemide, a monoamine oxidase inhibitor.
Substance abuse is well documented among bodybuilders and weight lifters keen to enhance their performance. A case is described of abuse of caffeine to toxic levels by an amateur bodybuilder and is believed to be the first documented case of such recreational abuse.