A farmer is found convulsing in the farm. Diarrhea, sweating and urination are apparent. Pupils are pin point. Drug poisoning is suspected. Most probable cause is:
Ans. C. Organophosphate poisoningThese are characteristic features of anti-cholinesterase (organophosphate and carbamate) poisoning.A. Symptom due to muscarinic actions: (DUMBELS)* Diarrhoea, Diaphoresis* Urination* Miosis* Bronchoconstriction* Excitation CNS* Lacrimation,* SalivationB. Symptom due to nicotinic action:Skeletal muscle fasciculations, weakness leading to (diaphragmatic) paralysis and deathTwo kinds of poisonings result in pin point pupil i.e. Opioids Poisoning and Organophosphate Poisoning
Acetaminophen overdose
Amphetamine toxicity
Organophosphate poisoning
Atropine poisoning
Anaesthesia