Drug misuse, intoxication and withdrawal Quiz: Ace Your Exams
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A 17-year-old boy is brought to the emergency department for evaluation of anxiety and paranoia. The patient was at a party where he started screaming at a girl because he believed she was going to harm him. Several minutes later, he felt restless and stated he felt like “the world was closing in on him.” Temperature is 37.2C (98.96F), heart rate is 115/minute, blood pressure is 145/90 mmHg, and respirations are 18/minute. Oxygen saturation is 99%. On physical examination, the patient appears anxious. Pupils are 3 mm and reactive to light bilaterally. The conjunctiva appears injected, and his coordination is slow. Which of the following is the most likely etiology of this patient’s presentation?
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