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Old 01-25-2013
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Default Hemo Q 3

An 18-year-old college freshman presents to
the emergency department after suffering a seizure
at a party. She is accompanied by her
friend, who states that the patient had been
consuming alcohol and had complained of severe
abdominal pain and vomited several times
before she began convulsing. The patient is admitted
for observation and work-up of her
symptoms. She has no further seizures and appears
to be recovering well. The next morning
an observant medical student notes that the
urine collecting in her Foley catheter bag is
reddish-brown. The student double-checks the
patient’s laboratory results and fi nds that she
has a positive urine toxicology screen that
could explain her symptoms. Which of the following
drugs most likely contributed to patient’s
symptoms?
(A) Cocaine
(B) Heroin
(C) Marijuana
(D) Methamphetamine
(E) Phenobarbital
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Old 01-25-2013
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(E) Phenobarbital

Hit - AIP!
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Old 01-25-2013
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Rhabdomyolysis



Quote:
Cocaine can directly damage muscle tissue by causing vasoconstriction and tissue ischemia.
Quote:
AIP displays neurovisceral symptoms but no skin manifestations.
  • The neurovisceral symptoms consist of autonomic neuropathies (eg, constipation, colicky abdominal pain, vomiting, hypertension), peripheral neuropathy, seizures, delirium, coma, and depression.
  • The abdominal pain is severe and lasts for several days. Severe abdomen pain of short ( < 1 d) duration or chronic abdominal pain is unusual.
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Last edited by Novobiocin; 01-25-2013 at 03:48 PM.
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Old 01-26-2013
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Yes answer is (E) Phenobarbital
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