Atropine was administered for 48 hours and then gradually tapered after clinical improvement and abatement of symptoms ( Video 2).

The patient was treated with atropine, intravenous fluids, and inotropic agents. The cholinergic symptoms, tongue fasciculations, and farming background of the family suggested a diagnosis of organophosphate poisoning. Further investigation revealed mild anemia, an elevated white-cell count, and low plasma levels of cholinesterase. During insertion of a feeding tube, diffuse tongue fasciculations were noted ( Video 1).

His pupils were reactive, equal in size, and mildly constricted (4 mm in diameter). Auscultation of the lungs revealed diffuse crepitations. On initial assessment, he was drowsy and had tachypnea and hypotension. The most trusted, influential source of new medical knowledge and clinical best practices in the world.Ī 15-year-old boy who lived with his family on a farm presented to the emergency department with a 1-day history of vomiting, diarrhea, and altered sensorium. Information and tools for librarians about site license offerings. Valuable tools for building a rewarding career in health care. The authorized source of trusted medical research and education for the Chinese-language medical community. The most advanced way to teach, practice, and assess clinical reasoning skills. Information, resources, and support needed to approach rotations - and life as a resident.

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Antidote for organophosphate poisoning