Drug misuse, intoxication and withdrawal: Stimulants: Pathology review
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Drug misuse, intoxication and withdrawal: Stimulants: Pathology review
Psychological disorders
Bipolar and related disorders
Bipolar disorder
Medication-induced movement disorders and other adverse effects of medication
Neuroleptic malignant syndrome
Serotonin syndrome
Obsessive-compulsive disorders
Body dysmorphic disorder
Body focused repetitive disorders
Obsessive-compulsive disorder
Schizophrenia spectrum and other psychotic disorders
Delusional disorder
Schizoaffective disorder
Schizophrenia
Schizophreniform disorder
Substance-related and addictive disorders
Alcohol use disorder
Cannabis dependence
Cocaine dependence
Opioid dependence
Tobacco dependence
Psychological disorders review
Amnesia, dissociative disorders and delirium: Pathology review
Childhood and early-onset psychological disorders: Pathology review
Dementia: Pathology review
Developmental and learning disorders: Pathology review
Drug misuse, intoxication and withdrawal: Alcohol: Pathology review
Drug misuse, intoxication and withdrawal: Hallucinogens: Pathology review
Drug misuse, intoxication and withdrawal: Other depressants: Pathology review
Drug misuse, intoxication and withdrawal: Stimulants: Pathology review
Eating disorders: Pathology review
Malingering, factitious disorders and somatoform disorders: Pathology review
Mood disorders: Pathology review
Personality disorders: Pathology review
Psychiatric emergencies: Pathology review
Psychological sleep disorders: Pathology review
Schizophrenia spectrum disorders: Pathology review
Trauma- and stress-related disorders: Pathology review
Assessments
Drug misuse, intoxication and withdrawal: Stimulants: Pathology review
USMLE® Step 1 questions
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Transcript
Content Reviewers
In the middle of the night, a 25 year old female, named Sylvie, comes to the emergency department complaining of retrosternal chest pain that began a couple of hours ago. Earlier that night, she was at a party, where she and her friends consumed alcohol.
Upon further questioning, Sylvie reveals that she also consumed an illicit drug. She is otherwise healthy, has no history of cardiac disease, and does not take any medications.
On physical examination, Sylvie is sweating profusely. In addition, her pupils are dilated, and the nasal septum is atrophic.
Vital signs reveal a temperature of 100 degrees Fahrenheit or 37.7 degrees Celsius, a heart rate of 110 beats per minute, and a blood pressure of 160 over 90 millimeters of mercury.
Some days later, you meet a 36 year old male, named Hunter, who comes in due to recurrent headaches associated with trouble concentrating and irritability.
Hunter adds that he feels like he can’t stop eating, and as a consequence, he’s gained about 3 kilograms, or about 7 pounds, over the last two weeks.
When you ask about his habits, Hunter admits to smoking 2 packs of cigarettes daily for the last 10 years, but stopped smoking about two weeks ago.
Based on the initial presentation, both Sylvie and Hunter seem to have a form of stimulant intoxication or withdrawal.
Stimulants are a group of substances that, when consumed, typically lead to increased activity in the body and brain.
Stimulants include legal substances like caffeine, nicotine, and some amphetamines that can be prescribed for medical treatment; as well as illegal substances, such as cocaine and other amphetamines like MDMA.
Sources
- "Harrison's Principles of Internal Medicine, Twentieth Edition (Vol.1 & Vol.2)" McGraw-Hill Education / Medical (2018)
- "Pathophysiology of Disease: An Introduction to Clinical Medicine 8E" McGraw-Hill Education / Medical (2018)
- "CURRENT Medical Diagnosis and Treatment 2020" McGraw-Hill Education / Medical (2019)
- "Robbins Basic Pathology" Elsevier (2017)
- "Diagnostic Immunohistochemistry" Elsevier (2021)
- "Bates' Guide to Physical Examination and History Taking" LWW (2017)
- "Atlas of Emergency Medicine" NA (2015)
- "Substance-Related and Addictive Disorders" Diagnostic and Statistical Manual of Mental Disorders (2013)
- "A developmental etiological model for drug abuse in men" Drug and Alcohol Dependence (2017)
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