Cocaine overdose presents with all of the following except :
**Core Concept**
Cocaine is a powerful stimulant that acts by inhibiting the reuptake of dopamine, serotonin, and norepinephrine in the brain, leading to an excessive release of these neurotransmitters and causing various systemic effects.
**Why the Correct Answer is Right**
Cocaine overdose can present with a range of symptoms, including tachycardia, hypertension, hyperthermia, dilated pupils, and psychosis. The excessive release of norepinephrine leads to vasoconstriction, which can cause ischemia in various organs. Additionally, cocaine can cause seizures, arrhythmias, and cardiac arrest due to its effects on the cardiovascular system.
**Why Each Wrong Option is Incorrect**
**Option A:** This option is incorrect because it is a common presentation of cocaine overdose.
**Option B:** This option is incorrect because cocaine can cause severe hypertension, which can lead to cardiac complications.
**Option C:** This option is incorrect because cocaine can cause severe vasoconstriction, leading to ischemia in various organs.
**Clinical Pearl / High-Yield Fact**
Cocaine can cause a condition known as "cocaine-induced rhabdomyolysis," which is characterized by muscle damage and elevated creatine kinase levels.
**Correct Answer:** D.