Serotonin syndrome: agitation, confusion, fever diarrhea, tremor, hyperreflexia
NMS: confusion, disorientation, muscle rigidity, fever, rhabdomyolysis.
So the diarrhea and hyperreflexia are key distinguishers of serotonin syndrome and then the muscle rigidity and lysis are key for the NMS (you can order a CK). Those are the key contrasts IMO. Also the drugs that cause them of course
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