A 19-year-old runner collapses during a summer race. Triage acuity is ESI 1; rectal temperature is 106.4 F, HR 168/min, BP 94/50 mm Hg. He is

Question

A 19-year-old runner collapses during a summer race. Triage acuity is ESI 1; rectal temperature is 106.4 F, HR 168/min, BP 94/50 mm Hg. He is confused, hot, and diaphoretic. No trauma is evident. Which of the following is the most likely diagnosis?

Accepted Answer

Exertional heat stroke

Answer

Febrile seizure

Answer

Neuroleptic malignant syndrome

Answer

Serotonin syndrome

Answer

Heat exhaustion

Heat stroke — ABEM Board MCQ

A 19-year-old runner collapses during a summer race. Triage acuity is ESI 1; rectal temperature is 106.4 F, HR 168/min, BP 94/50 mm Hg. He is confused, hot, and diaphoretic. No trauma is evident. Which of the following is the most likely diagnosis?