5.0 of 4 Ratings
Please rate this review topic.
You have never rated this topic.
Thank you. You can rate this topic again in 12 months.
A 29-year-old farm hand is brought into the emergency department by his friends because he passed out while working in the field and was not able to be aroused. His friends state they thought he had a stomach bug as he was sweating profusely and had diarrhea and vomiting prior to losing consciousness. On exam, the patient's vitals are: T: 36 deg C, HR: 60 bpm, BP: 100/60 mmHg, RR: 12, SaO2: 99%. Diaphoresis, lacrimation, and increased salivation are appreciated. The patient's eyes are shown in Figure A. Which of the following medications should be administered to this patient?
Pyridostigmine and Physostigmine
Atropine and Pralidoxime
Sodium Bicarbonate and Pralidoxime
Select Answer to see Preferred Response
A 5-year-old boy is brought to the ED with fever and altered mental status. The boy was in his normal state of health until a few hours ago when he began to "not feel good" while on a deep-sea fishing trip as part of his family vacation. By the time that the family made it back to shore, the boy was experiencing blurred vision and confusion. In the ED his vitals were 101.6F, HR160, RR18, and O2 99% on room air. On exam, his skin is dry and flushed, and his abdomen is covered in small, round, stickers similar to that in Figure A. What gastrointestinal and urinary symptoms would you expect in this patient?
Incontinence of stool; urine retention
Incontinence of stool and urine
Constipation; urine retention
Constipation; incontinence of urine
Incontinence of stool; no urinary symptoms