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Old 10-14-2013
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Poison How to diagnose this toxic child?

A 20-month-old boy is brought to the emergency department 10 minutes after being found unresponsive in the garage; there were numerous liquid containers spilled at his side. His skin is wet; he is drooling and has a clear nasal discharge. His temperature is 37.3C (99.lF), blood pressure is 95/65 mm Hg, pulse is 62/min, and respirations are 32/min. He is responsive only to deep pain. The pupils are pinpoint. Which of the following is most likely to confirm the diagnosis?

A) Administration of glucose
B) Administration of naloxone
C) Measurement of erythrocyte cholinesterase activity
D) Measurement of plasma lactate and pyruvate levels
E) Measurement of serum electrolyte levels and osmolalily
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  #2  
Old 10-14-2013
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Looks like cholinergic toxicity
go with Measurement of erythrocyte cholinesterase activity?
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C) Measurement of erythrocyte cholinesterase activity
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Old 10-14-2013
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I agree ..it's C
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