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F – Fever -Often high (> 38.5–40°C) E – Encephalopathy -Confusion → delirium → obtundation V – Vital sign instability -Labile BP -Tachycardia -Diaphoresis E – Elevated enzymes -CK (CPK) markedly elevated -Leukocytosis is common but not required for dx R – Rigidity -“Lead-pipe” rigidity (uniform, severe) #nms #pmhnp #psychnp #nursepractitioner #mentalhealth
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