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Recall tardive dyskinesia by the man with his disc-kite that takes a dive into the tar bucket to kick off an epic dance party before it gets broken up by a party pooper. This condition presents as an adverse reaction to long-term use of antipsychotic medications. One of the key characteristics is bizarre facial movements, shown by the face dancing bizarrely. This may present as unusual movements of the eyebrow, forehead, cheeks, and periorbital area along with movements such as frowning, blinking, smiling, grimacing, and twitching. Patients may also present with bizarre tongue movements, shown by the tongue trying to outdance his friends. The patient&rsquo;s tongue will move in and out of the mouth at an increased rate as a result of tardive dyskinesia. But these guys are no match for the up-arrow extremity man dancing. He represents the symptom of increased extremity movements that patients may perform such as rapid, purposeless, and irregular movements of the upper and lower extremities. His dance move reach so high he almost hits the stiff-board neck, as a stiff neck can occur causing discomfort in the patient. This can further lead to difficulty swallowing or&nbsp;dysphagia, shown by the dice-fajitas being held by the stop-sign medication-bottle who has come to stop the party. This represents the importance of stopping the antipsychotic medications immediately as the faster the medication is stopped, the more likely the symptoms of tardive dyskinesia will be reversible. He&rsquo;s holding a gun aimed at the partiers which represents AIMS, abnormal involuntary movement scale. This is a tool used to assess for early symptoms of tardive dyskinesia.&nbsp; So to review. Tardive dyskinesia presents with bizarre facial and tongue movements, increased extremity movements, a stiff neck, and dysphasia. Interventions include stopping the medication immediately and using AIMS as a tool for early detection of symptoms.&nbsp;

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story

tar dive disc kite.png

TARDIVE DYSKINESIA.png

Tar-dive Disc-kite

Tardive Dyskinesia

Primary ciliary dyskinesia

1st generation Antipsychotics

Signs and Symptoms

face dancing.png

Face Dancing

Bizarre Facial Movements

During your assessment of a patient with tardive dyskinesia which of the following signs or symptoms is most likely to be seen?

tongue dancing.png

Tongue Dancing

Bizarre Tongue Movement

up arrow extremity dancing.png

Up-arrow Extremity Dancing

Increased Extremity Movements

stiff board neck.png

Stiff-board Neck

Stiff Neck

dice fajitas.png

Dice-fajitas

Dysphagia

Interventions

stop sign medication bottle.png

Stop-sign Medication-bottle

Stop Medication

For a patient taking an antipsychotic who develops tardive dyskinesia, what should be advised?

gun aim.png

Gun-aim

AIMS

Which is a tool used to assess for early symptoms of tardive dyskinesia?

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Think of Tardive Dyskinesia as a guy Tar-diving with a Disc-kite into a dance contest. The first contestant is a Face Dancing and boy does he have moves. The next contestant is the Tongue Dancing and his moves are so slick, spits flying everywhere! However, none of them compare to Up-arrow Extremity guy&rsquo;s dance moves. He&rsquo;s getting so into is, he&rsquo;s about to hit that Stiff-board Neck diving board the tar-diver jumped off of. But then, things take a sudden turn for the worse when a party pooper shows up. He&rsquo;s upset because the dance party is interrupting his dinner of Dice-fajitas. He&rsquo;s a mean-ol Stop-sign Medicine-bottle and he says that if those meddling kids don&rsquo;t stop that he AIMs to shoot them on site. Everybody cut loose!

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Picmonic NCLEX Question of the Day 12/03/2023

Picmonic NCLEX® Question of the Day

A 27-year-old male has been taking clozapine for the past two years and his mother brings him to the clinic. She states that she has noticed him making "funny faces," and he won't stop "twisting and squirming." Which of the following is this patient most likely experiencing?

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