Approach to recreational substance exposure (pediatrics) Quiz: Ace Your Exams
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A 15-year-old boy is brought to the emergency department by his parents for unusual behavior. Since picking him up from his friend’s house, he has been agitated, slurring his speech, and disoriented. They checked his phone and saw it open to a video called the “Benadryl Challenge” on a social media site. He has no chronic medical condition and does not take any medication regularly. Temperature is 39.1°C (102.4°F), pulse is 120/min, respiratory rate is 22/min, blood pressure is 142/82 mmHg, and oxygen saturation is 98% on room air. The patient is restless and disoriented on examination. He is having visual hallucinations. Urine liquid chromatography-tandem mass spectrometry is positive for diphenhydramine. Which of the following is most likely to be seen on examination?
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