A patient comes with sudden respiratory distress, on examination, b/l miosis ,bilateral basal crepts are present over chest suggestive of pulmonary edema with normal alveoler wedge pressure.The likely cause is-
Correct Answer: Narcotic overdose
Description: The presentation involves shallow and slow respirations,pupillary miosis (mydriasis does not occur until significant brain anoxia supervenes), bradycardia, hypothermia, and stupor or coma. If naloxone is not administered, progression to respiratory and cardiovascular collapse leading to death occurs. At autopsy, cerebral edema and sometimes frothy pulmonary edema are generally found, but those pulmonary effects are most likely from allergic reactions to adulterants mixed with the heroin. Opiates generally do not produce seizures except for unusual cases of mixed drug abuse with the opiate meperidine or with high doses of tramadol. ref : Harrison&;s principle of internal medicine, 20th edition,pg no.3554
Category:
Medicine
Get More
Subject Mock Tests
Practice with over 200,000 questions from various medical subjects and improve your knowledge.
Attempt a mock test nowMock Exam
Take an exam with 100 random questions selected from all subjects to test your knowledge.
Coming SoonGet More
Subject Mock Tests
Try practicing mock tests with over 200,000 questions from various medical subjects.
Attempt a mock test now