RT Book, Section
A1 Usatine, Richard P.
A1 Smith, Mindy A.
A1 Chumley, Heidi S.
A1 Mayeaux, E.J.
SR Print(0)
ID 57686469
T1 Chapter 239. Cocaine
T2 The Color Atlas of Family Medicine, 2e
YR 2013
FD 2013
PB The McGraw-Hill Companies
PP New York, NY
SN 978-0-07-176964-8
LK accessmedicine.mhmedical.com/content.aspx?aid=57686469
RD 2024/04/24
AB A  26-year-old  man  is  brought  into  the  emergency  department  in  status  epilepticus  by  his  “friends,”  who  promptly  flee  the  scene.  His  seizures  spontaneously  cease,  and  he  is  noted  to  have  an  altered  mental  status.  IV  access  is  obtained  and  he  is  stabilized.  A  urine  toxicology  screen  is  positive  for  cocaine  and  his  creatinine  phosphokinase  is  markedly  elevated.  He  is  admitted  for  cocaine-induced  seizures  and  rhabdomyolysis.  He  survives  the  hospitalization  and  consents  to  a  photograph  of  his  eyes  before  discharge.  Figure  239-1  shows  the  bilateral  subconjunctival  hemorrhages  that  occurred  during  his  seizures.  The  patient  states  that  he  understands  the  gravity  of  the  situation  and  will  enter  a  drug  rehabilitation  program  when  he  leaves  the  hospital.