SAQ 371 – Toxicology – agitated hyperthermic patient and toxidromes

A 32-year-old man is brought by police and ambulance after being found running naked in the street. He recently finished postgraduate exams and went out celebrating. He is confused, agitated, febrile, tachycardic, and hypertensive. He takes amitriptyline for migraine prophylaxis.

Give five (5) differentials from different categories.

(Marked out of 5.0)

/ 5

List the Hunter serotonin toxicity decision rule.

(Marked out of 5.0)

/ 5

Complete the toxidrome table.

(Marked out of 10.0)
</p> <table class="saq-prop-table"> <thead> <tr> <th>Toxidrome</th> <th>Mental status</th> <th>Eyes</th> <th>Lungs</th> <th>Pulse rate/vitals</th> <th>Bowel sounds</th> <th>Bladder</th> <th>Neurological</th> </tr> </thead> <tbody> <tr> <td>Sympathomimetic</td> <td></td> <td></td> <td></td> <td></td> <td></td> <td></td> <td></td> </tr> <tr> <td>Cholinergic</td> <td></td> <td></td> <td></td> <td></td> <td></td> <td></td> <td></td> </tr> <tr> <td>Anticholinergic</td> <td></td> <td></td> <td></td> <td></td> <td></td> <td></td> <td></td> </tr> <tr> <td>Opioid withdrawal</td> <td></td> <td></td> <td></td> <td></td> <td></td> <td></td> <td></td> </tr> <tr> <td>Neuroleptic malignant syndrome</td> <td></td> <td></td> <td></td> <td></td> <td></td> <td></td> <td></td> </tr> <tr> <td>Serotonin syndrome</td> <td></td> <td></td> <td></td> <td></td> <td></td> <td></td> <td></td> </tr> </tbody> </table> <p>

/ 10

Total Score: 0 / 20

Percentage: 0%