A 25-year-old female presents at a music festival with dilated pupils, agitation, hyperthermia (39°C), tachycardia, dry skin, urinary retention, and a...

Question

A 25-year-old female presents at a music festival with dilated pupils, agitation, hyperthermia (39°C), tachycardia, dry skin, urinary retention, and absent bowel sounds. She is reported to have taken some 'pills'. What is the toxidrome and what specific class of drug is most likely responsible?

Accepted Answer

Anticholinergic toxidrome - likely from ingestion of antihistamines (diphenhydramine), tropane alkaloids, or anticholinergic medications; remembered as 'hot as a hare, blind as a bat, dry as a bone, red as a beet, mad as a hatter'

Answer

Serotonergic toxidrome from MDMA

Answer

Cholinergic toxidrome from organophosphate exposure

Answer

Opioid toxidrome from heroin

Answer

Sympathomimetic toxidrome from cocaine

Anticholinergic Toxidrome - Identification — DipIMC MCQ

A 25-year-old female presents at a music festival with dilated pupils, agitation, hyperthermia (39°C), tachycardia, dry skin, urinary retention, and absent bowel sounds. She is reported to have taken some 'pills'. What is the toxidrome and what specific class of drug is most likely responsible?