症例 challenge · Emergency / Toxicology / Critical care · teaching

Sympathomimetic Toxicity (Cocaine/Amphetamines) — Pathway · case challenge

Given a case, work through the care pathway step by step; the tool checks each choice and scores you. Decisions and basis are taken from this site's reviewed care pathways.

← View the full flowchartBased on StatPearls / EMCrit

Case #1Emergency / Toxicology / Critical care

📋 Case data

SeverityMild–moderate (agitation/hypertension/tachycardia)

Data is taken from this pathway's reviewed node text. Work through the pathway step by step.

Step 1 / 1 · Severity

Sympathomimetic toxidrome — severity?

💡 Toxidrome (agitation + hyperthermia + tachycardia + hypertension + mydriasis + diaphoresis + hallucinations/psychosis) — cocaine/amphetamine/methamphetamine/MDMA/cathinones (bath salts). Dangers: seizures, rhabdomyolysis → AKI, coronary/cerebral ischemia, ICH, cardiovascular collapse. Differentiate: anticholinergic (dry skin), serotonin syndrome, NMS, thyroid storm, withdrawal, ICH.

For teaching. Decisions and their basis are taken from this site's reviewed care pathways; for licensed clinicians/trainees, this does not replace clinical judgment or local protocols.