Approach to recreational substance exposure (pediatrics) Quiz: Ace Your Exams
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A 16-year-old girl is brought to the emergency department by her parents who are concerned about a drug overdose. The patient reports taking a “white tablet” when out at a party with friends that evening. Shortly after taking it, she began feeling energetic and euphoric. She also notes colors appearing very vivid. As the effects wore off she took a second dose, but then became paranoid with feelings of impending doom, and she could not stop clenching her teeth. Temperature is 38.8°C (101.8°F), and the patient appears anxious. Urine drug screen is positive for methylenedioxymethamphetamine. Which of the following clinical features are most likely to be seen in this patient?
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