33 year old male
gradual onset of confusion, agitation distress; increasing over the past 6-12 hours
recent GP visit for ? depression; question over possible recreational drug use (cannabis, ecstasy)
On arrival in ED (RESUS)
A- patent, protected
B- RR 21/min; SpO2 98% OA ; clear chest
C- hot to touch; HR 135 bpm; BP 160/100 mmHg
D- agitated, restless, confused; pupils large (mydriasis) / Rigidity limbs, frequent myoclonic jerking movements / hyperreflexia; no meningism
E- temp 38.2; no rash
VBG - mild metabloic acidosis, lactate raised, glucose normal
What is the differential diagnosis?
What are the potential underlying causes?
What is the treatment?
The Derrifoam Blog
Welcome to the Derrifoam blog - interesting pictures, numbers, pitfalls and learning points from the last few weeks. Qualityish CPD made quick and easy.....