You respond to an ill male patient. Upon arrival, you note a farmer who is complaining of not feeling well. The patient presents in a tripod position with copious secretions, lacrimation, vomiting, and evidence of urination and defecation. You suspect:

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The symptoms described are consistent with cholinergic exposure, which can be caused by exposure to certain pesticides or nerve agents. The tripod position, copious secretions, lacrimation, vomiting, and incontinence are all characteristic of cholinergic toxicity. Anticholinergic exposure, on the other hand, would cause dryness of the mouth and skin, dilated pupils, and decreased bowel sounds. Sympathomimetic exposure would cause elevated heart rate and blood pressure, dilated pupils, and hyperactivity. Extrapyramidal syndrome is a side effect of certain medications and would not cause these symptoms.

You Respond to an Ill Male Patient