Q:

A 13-years-old male presented with delirium and mumbling Speech, tizhycardia, dry flushed skin

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A 13-years-old male presented with delirium and mumbling Speech , tizhycardia, dry flushed skin, dilated pupils, myoclonus, slightly elevated temperature, urinary retention, and decreased bowel sounds, later on he developed seizure and dysrhythmia. of the following,the MOST likely cause is


  1. antidepressant agents
  2. amphetamine
  3. barbiturates
  4. benzodiazepines
  5. edrophonium

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(A). Patient in the question presented with anticholinergic syndrome and this syndrome can be caused by antihistamines, antiparkinsonian medication, atropine, scopolamine, amantadine, antipsychotic agents, antidepressant agents, antiSpasmodic agents, mydriatic agents, skeletal muscle relaxants, and many plants (notably jimson Weed and Amanita muscaria).

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