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A 14-year-old lymphoma patient presented to the ER with acute dystonia just 48 hours after chemotherapy—triggering a broad differential diagnosis including CNS involvement, metabolic imbalance, and drug toxicity. After careful evaluation, the culprit was identified as metoclopramide-induced extrapyramidal symptoms (EPS), a rare but important clinical mimic in oncology patients. This case highlights the importance of medication review and vigilance for adverse drug reactions in cancer care. Early recognition can prevent unnecessary investigations and provide rapid symptom relief with appropriate treatment.
#Lymphoma #Oncology #ExtrapyramidalSymptoms #AcuteDystonia #Metoclopramide #ChemotherapyComplications #CancerCare #MedicalEducation #DoctorLife #ClinicalCase #RarePresentation #ERMedicine #PatientSafety #AdverseDrugReaction #MedEd

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