GPR: 2020 - Week 06
From MGH Learn Pathology
Clinical history
A 61 year-old man with a history of bipolar disorder, polysubstance use disorder, seizure, and well-controlled HIV presented to the ED with AMS and multiple falls after ingesting an unknown substance. The patient's partner provided a plastic bag containing a light-colored powder, which he reported was ingested by the patient. An extensive workup for the patient's AMS was unrevealing. After five days of persistent AMS, the clinical team requested identification of the powder.
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delorazepam
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dexmedetomidine
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(nor)ketamine
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- Jim Flood
- Bill Young
- O'Brien (2005). "Benzodiazepine Use, Abuse, and Dependence". The Journal of Clinical Psychiatry: 66.
- https://pubchem.ncbi.nlm.nih.gov/compound/17925
- https://www.drugbank.ca/
- NMS Labs 27100 Identification of Controlled Substances, Pharmaceuticals, and Steroids ( https://www.nmslabs.com/forensic-testing/criminal-investigation/illicit-drugs , https://www.nmslabs.com/sites/default/files/2018-11/Crime_Lab_Services_Listing_2017.pdf )
This week's Gross Pathology Roundup was presented by Cameron Ray Smith, MD, PhD on Mon, Feb 03, 2020.