A 55-year-old farmer presents to a rural ED, triage category 1, after pesticide exposure. He has salivation, bronchorrhoea, wheeze, miosis and

Question

A 55-year-old farmer presents to a rural ED, triage category 1, after pesticide exposure. He has salivation, bronchorrhoea, wheeze, miosis and fasciculations. BP 96/58, HR 48, SpO2 88% despite oxygen. Staff note chemical odour on clothing. What is the most likely diagnosis?

Accepted Answer

Organophosphate poisoning

Answer

Beta-blocker poisoning

Answer

Opioid poisoning

Answer

Serotonin syndrome

Answer

Anticholinergic poisoning

Organophosphate poisoning — ACEM Fellowship MCQ

A 55-year-old farmer presents to a rural ED, triage category 1, after pesticide exposure. He has salivation, bronchorrhoea, wheeze, miosis and fasciculations. BP 96/58, HR 48, SpO2 88% despite oxygen. Staff note chemical odour on clothing. What is the most likely diagnosis?