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Review Question - QID 214651

Toxicology Toxicology Drug Introduction QID: 214651 (M2.OMB.4898)
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QID 214651 (Type "214651" in App Search)
A 22-year-old man presents to the emergency department acutely altered. He was found at home obtunded. The patient has presented similarly in the past for suicide attempts. He lives at home with his grandparents who are on multiple medications that are not known to the paramedics. His temperature is 97.6°F (36.4°C), blood pressure is 84/44 mmHg, pulse is 40/min, respirations are 18/min, and oxygen saturation is 93% on room air. An ECG is performed as seen in Figure A. Laboratory studies are notable for the findings below.

Serum:
Na+: 141 mEq/L
Cl-: 100 mEq/L
K+: 4.36 mEq/L
HCO3-: 25 mEq/L
BUN: 20 mg/dL
Glucose: 367 mg/dL
Creatinine: 1.1 mg/dL

Which of the following is the most likely etiology of this patient's symptoms?
  • A
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  • A