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Question: Tox

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A 14 month old is brought in with lethargy and obtundation. The patient is breathing spontaneously and has stable vital signs. The parents admit that they were having a party with alcohol and recreational drugs present, and the toddler had been walking around.

Which of the following could be the cause of a young child’s lethargy?

pemsou5_wp • February 27, 2018

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  1. Kelly February 27, 2018 - 9:31 am Reply

    E. All of the above. Although PCP is typically thought of as causing bizarre behavior, agitation, rigidity, hyperreflexia, and hypertension in adults, in young children it may cause lethargy. Ataxia and nystagmus are other common symptoms. Similarly, edible cannabis products can cause lethargy and obtundation to the point of requiring endotracheal intubation in young children. These exposures are increasing because edibles are often in the form of baked good and candy that is attractive to young children.

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