'Dromes
What is Cholinergic?
24 y/o M concert goer at a music festival (tie dye t shirt, body odor, patchouli): hyperthermia; yelling: "The purple trees are melting into the swirling, rippled sky!"
What is LSD?
83 y/o M w/ tinnitus, muffled hearing, dizziness; takes daily medications, but forgetful & taking daily medications multiple times per day
What is aspirin, salicylate toxicity?
65 y/o M w/ some night-time sight difficulty. Taking a vitamin to improve his vision, his neighbor gave him. Vision is worse, itchy and dry skin, headache and sunburn w/ skin peeling, not in the sun
What is Vitamin A?
8 mo M, teething, mother is using Orajel on his gums to relieve the pain. Decreased activity level, bluish lips
A 24 yo M known drug user who is delirious, agitated, sweating, tachycardia, awake for 3 days
What is Sympathomimetic?
15 y/o F ate 6 grams magic mushrooms, pupils are equal and dilated she is calm at peace, and expresses amazement and is in awe of the music she hears. Later, experiencing intense nausea and vomiting.
What is psilocybin?
45 y/o M w/ back pain and cannot see a doctor, just keeps "popping arthritis pills" from CVS. Nausea, vomiting, confusion, anuria, scleral icterus
Why is acetaminophen?
36 y/o F taking many supplements for weight loss. Muscle weakness, fatigue, nausea, weight loss, constipation. EKG w/ shortening of the Q-T interval
What is Vitamin D?
23 y/o F w/ dysuria, for weeks, thinks she has a UTI, but it won't go away with the medicine she bought OTC. HCH, nausea, fatigue, hypoxia.
12 yo F w/ fever, tachycardia, hypertension, tachypnea, "sunburned" skin
What is anticholinergic?
39 y/o F stay at home mom, blood shot eyes, tachycardia, smokes and is having a very bad day. She feels like she cannot hear, but she is answering questions correctly.
What is cannibis?
27 y/o M, EM resident, who drank 5 celsius beverages over night, while on UPMC Trauma rotation. HR 190, cannot sit still, headache, resting hand tremors
63 y/o M on Coumadin for DVT, he is covered in bruises & no recollection of injury. INR 8. His bought vitamins on the internet to get rid of the "free radicals
What is Vitamin E?
38 y/o M who pulled a hamstring after a first exercise run in months. He's been using a super strength muscle pain cream on the back of the thigh 24/7 for a week. He is hypoxic, cyanotic, nausea, fatigue.
What is lidocaine?
16 y/o M "robo-tripping," w/ fever, confusion, mydriasis, hypertension, rigid mucles
What is serotonin syndrome?
32 y/o M w/ acute psychosis, combative, paranoia, panic attack, seizure and rhabdomyolysis
What is synthetic cathinone derivatives, "bath salts"?
8 y/o F found her mom's chewing gum in her purse. She kept trying new pieces because they tasted bad. Intractable nausea, vomiting, bradycardia
What is nicotine?
16 y/o M athlete started a new "pre-work out," mixed drink he got at GNC. He feels "TOO wired." His extremities are burning, itching and red. He feels like he is coming out of his skin.
What is Vitamin B3, Niacin?
What is methylene blue?
A 1 y/o M floppy w/ hypothermia, bradycardia, hypotension, pinpoint pupils, decreased respiratory rate
What is opioid overdose?
17 y/o F from a warehouse underground "rave" party, with "lockjaw," lack of saliva, dilated pupils, sodium 121, hyperthermia
What is MDMA, "Ecstasy"?
5 y/o M ate half the bottle of Flintstones vitamins.... he has nausea, vomiting & diarrhea. Initially, thought to have a stomach bug. A day later: hematuria, hematemesis and very sick.
What is Iron?
65 y/o M w/ forgetfulness taking a supplement for brain health he bought on amazon.com. Hematuria, bruising, nausea, stomach cramps. Coags, CBC normal.
What is ginkgo?
The infant's blood will appear this color when compared to his mother's blood on a piece of filter paper.