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@sarahmle - cardio69
#41
Alicia welcome GJ
____________________________________________________________________________________
A 39 y/o M presents with hist use of clonidine. He is also complaining of diarrhea, nausea, abdominal,flu like symp and cramping

What drug pat also abusing?
a) Cocaine
b) Khat
c) Ketamine
d) Oxycodone
e) Methamphetamine
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#42
E?
(Thanks Cardio, will try to keep up with the 72 sec deadline)
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#43
@mistakeproof & thank u for time line, BUT Why met ?
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#44
EE.. withdrawal maybe. Sad(

pls explain cardio
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#45
i was thinking that drug-drug interaction between met and clonidine could cause those symptoms. Met is a drug of abuse while clonidine is an anxiolytic?
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#46
Met are “stimulants” that may produce irritability/anxiety/dysphoric mood /excessive
fatigue in withdrawal. Pat in scenario are consistent with “opioid withdrawal” Are u agree with me base on your FA? sarah & mistake

@mistakeproogdoc clonidine is just distractor & u should not no worry 4 it
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#47
so its withdrawal..thnq cardio.
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#48
RT.
Make sure u know psychoactive drug intoxication & withdrawal cold/Forever.
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#49
A 29 y/o M married dentist presents with a complaint of "having a heart attack." He explains he was "doing nothing particular" at home about 45 minutes ago when he began having chest pain with shortness of breath and nausea. His symptoms peaked within ten minutes, and he "knew this was the big one." His wife noted he was "shaking and sweaty." His wife immediately brought him to the hospital. He has no significant past medical history, takes no medications, and denies substance use. His family medical history is significant for a paternal grandfather that "died of a massive heart attack" at age 56. PE reveals an anxious diaphoretic man taking short, shallow breaths. Vital signs, cardiac auscultation, ECG, and cardiac enzymes are completely norm. The patient has been to the ER six times in the last 6 weeks and apologizes for "the million dollar workup," but explains "every time it happens l just know l am doomed to die."

Which of the following criteria would serve to exclude the most likely DX?
a)Panic attacks beginning during sleep
b)Panic attacks beginning while driving
c)Panic attacks occurring at work and home
d)Panic attacks occurring with caffeine intake
e)Panic attacks occurring "out of the blue"

Reply
#50
E??
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