A 19-year-old woman is brought in by a friend after collapsing. She has been taking ecstasy and dancing all night. Temperature is 39 C, HR 140/min and BP 190/110 mmHg. She appears dehydrated and agitated, and has a resting tremor. The catheter urine is shown below.
Dark catheter urine.
What is the likely diagnosis?
(Marked out of 1.0)
/ 1
What electrolyte result is most important before starting treatment, and why?
(Marked out of 2.0)
/ 2
The laboratory phones with an urgent sodium result of 112 mmol/L. Name four further ED management steps, including drug doses and routes where appropriate.
(Marked out of 4.0)
/ 4
Name three clinical signs in this patient that best correlate with serotonin toxicity.
(Marked out of 3.0)
/ 3
Total Score: 0 / 10
Percentage: 0%
Comments are closed for this SAQ.