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sympathetikey
When the answer is so obvious that you pick a stupid answer instead of it. DOH
+49
jooceman739
Funny thing I noticed is "he is alert and cooperative. He appears to be in pain" So he was so high that he was alert and cooperative during the basal ganglia hemorrhage
+5
yotsubato
@sympathetikey That fucking guy who drinks 2 six packs a day with liver failure got me like that.
+2
yogi
probably the "drug" have to be a stimulant or a hallucinogen which causes HTN & Tachycardia.
+3
goodkarmaonly
The patient's B.P. and pulse are raised + Bilateral dilated pupils = Most likely use of a stimulant
Thats how I reasoned it anyways
+1
llamastep1
Bilateraly messed up pupils = Drugs (most of the time)
+1
targetmle
why is there basal ganglia hemorrhage?
+
dul071
Wait! doesn't it take like a week or two to get the results back!?!? i chose to measure catecholamine levels because that may be more timely. but clearly i'm wrong
+1
usmile1
basal ganglia hemorrhage is an intraparenchymal hemorrhage secondary to hypertension. according to FA, this occurs most commonly at the Basal Ganglia (FA19 pg 501)
+3
fatboyslim
I think this is cocaine intoxication which raised his blood pressure too high and it popped an arteriole in the basal ganglia.
+
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bend_nbme_over
Good thing they were at the ED cause that friend is gonna need some stitches
+2
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drzed
Because a toxicology screen would both answer your question (e.g. that it could be amphetamine abuse) and would also pick up any other drugs that the patient might have been using. So even though the pre-test probability is high for amphetamine use, lets say it was something else, well then the tox screen would pick that up as well. Or lets say that it was simultaneous use of two drugs, same scenario.
+4
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submitted by โseagull(1933)
This patient is tripping balls. Better do a drug screen which seems obvious.