Toxicology

Toxidrome Comparison Chart ✨

Feature Sympathomimetic Anticholinergic Cholinergic Opioid/Sedative-Hypnotic Salicylate
Heart Rate Tachycardia ❤️ Tachycardia ❤️ Bradycardia/Tachycardia ❤️ Bradycardia ❤️ Tachycardia ❤️
Blood Pressure Hypertension 🩸 Hypertension 🩸 Hypotension/Hypertension 🩸 Hypotension 🩸 No specific pattern
Temperature Hyperthermia 🌡️ Hyperthermia 🌡️ No specific pattern Hypothermia 🌡️ Hyperthermia 🌡️
Skin Diaphoresis 💧 Dry, flushed 🏜️🔴 Diaphoresis, lacrimation 💧💧 Dry Diaphoresis 💧
Pupils Mydriasis 👁️‍🗨️ Mydriasis 👁️‍🗨️ Miosis 👁️‍ Miosis (pinpoint) 👁️‍ No specific pattern
GI/GU Decreased bowel sounds 🚫 Ileus, urinary retention 🚫🚽 Diarrhea, urinary incontinence 🚽🚽 Decreased bowel sounds 🚫 Nausea, vomiting
CNS Agitation, psychosis 😵🧠 Delirium, hallucinations 😵🧠 Altered mental status, seizures 🧠 CNS depression, coma 💤🧠 Altered mental status, tinnitus 🧠👂
Respirations Tachypnea 🌬️ No specific pattern Bronchorrhea, bronchospasm 💨 Respiratory depression ⬇️🌬️ Tachypnea (hyperpnea) 🌬️
Other Seizures, rhabdomyolysis 💪 Seizures Muscle fasciculations, weakness 💪 Respiratory arrest Metabolic acidosis, fluid loss ⚖️

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The Primary Survey: A Systematic Approach to the Critically Injured Patient