Approach to medication exposure (pediatrics) Quiz: Ace Your Exams

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A 3-year-old boy is brought to the emergency department after being found unresponsive at home. His parents report that he was playing near his grandmother’s purse, which contained several medication bottles, but they are unsure if he ingested anything. Over the past hour, he has become increasingly drowsy and difficult to arouse. On physical examination, the child is lethargic but responsive to painful stimuli. Bilateral pupils are 3 mm and reactive to light. The patient’s skin is warm and dry, and there are no signs of respiratory distress. Breath sounds are clear bilaterally, and the abdomen is soft and non-tender. Vital signs are still pending. Which of the following would be most helpful in assessing the etiology of this patient’s condition? 

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