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Old 05-02-2012
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Poison Having difficulty with toxicology and poisoning!

I am going wrong or taking too long to diagnose poisoning and drug abuse q?

how to diagnose them very quickly..any one please??
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Old 05-03-2012
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me too
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Old 05-14-2012
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I would like to see an answer to this as well.
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Old 05-14-2012
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Quote:
Originally Posted by confident View Post
I am going wrong or taking too long to diagnose poisoning and drug abuse q?

how to diagnose them very quickly..any one please??
okay. i have revised these q recently . lemme try to put in some key phrases which can give away the ans.

if u get psychotic\manic patient and he is abusing drugs...
think of CLAP... Cocaine.LSD.Amphetamine.Alcohol withdrawal.PCP.
LSD [ dilated pupils with hallucinations,q may say patient is young woman whom friends asked to try white strip-LSD shaped like a white strip "ACID"],
Amphetamine [dilated pupil, guy just went to white house at 2 in morning saying he can end terrorism in 7 days]...also MDMA"Ecstasy" is amphetamine compound
PCP [ very violent person....bla bla bla..."NYSTAGMUS"...next step is remove noise in the room...}
Alcohol withdrawal [ patient MAY have stable vitals, will complain of visual hallucination...]
Cocaine abuse [ very similar to amphetamine but patient will be very very paranoid...]


pupils if dilated i will think of amphetamine,cocaine,heroin withdrawal[must have yawing,rhinorrhea] and atropine\TCA . there are more to it...including "CLAP"
constricted pupils in opiod intoxication !! are there more to this?


next, there are triads...
for Marijuana...red eyes+tachycardia+dry mouth [with increased appetite]...classic patient will be one driving car in the highway at very slow speed...time sense impaired...cops will bring him to you and you will see rest of things of triad...
for TCA...coma, convulsion and cardio-depression...torsades....
for Opiods....constricted pupils,respi depression and coma. i guess i m correct.
for atropine...secretions + flushed skin + ?


Idea of reference if mentioned in substance abuse q --> LSD is the ans.

patient found dead with plastic bag in hand. history of ataxia...very poor financially...think inhalants.

does this make sense? also, add more to it.
i hope i m correct in facts above.
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Old 05-14-2012
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Wonderful.

As for the atropine,

Dry as a bone, red as a beet, mad as a hatter.

Right out of Kaplan.

Lack of sweating and salivation (dry as a bone)
Tachycardia & inability to retain heat (red as a beat)
CNS disturbances at high doses (mad as a hatter).
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