MedBugs: SAQ #221

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Case: Hyperthermia and seizure after club drug use

A 25-year-old woman is brought to ED after a self-terminating seizure at a nightclub. Collateral history suggests recreational drug use. Vitals: GCS 9 HR 135 BP 155/85 SpO₂ 99% RA Temp 41.5°C.

1. List three toxidromes that might cause this clinical picture and provide two examination features for each. 6 marks

2. List six investigations you might perform in the ED providing justification for each. 6 marks

Shortly after arrival, the patient has another seizure.

3. State six components of your management. 6 marks

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Case: Hyperthermia and seizure after club drug use

1. List three toxidromes that might cause this clinical picture and provide two examination features for each. 6 marks

2. List six investigations you might perform in the ED providing justification for each. 6 marks

3. State six components of your management. 6 marks

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