A 13-year-old girl is brought to the emergency department by her mother after an episode of falling down on the ground during playing outdoor. When she found her, the patient seemed lethargic and disoriented and her speech was slurred. Her condition slowly improved over the next 30 minutes; when the patient is evaluated in the emergency department an hour after the episode, she is alert, oriented, and able to speak clearly. Temperature is 36.7 C (98.1 F), blood pressure is 102/65 mm Hg, and pulse is 62/min. On physical examination, there are abrasions on the right forearm and shin and a rash around the nostrils and mouth. The patient has no known medical history. Which of the following substances is the most likely cause of this patient's symptoms?

Question

A 13-year-old girl is brought to the emergency department by her mother after an episode of falling down on the ground during playing outdoor. When she found her, the patient seemed lethargic and disoriented and her speech was slurred.  Her condition slowly improved over the next 30 minutes; when the patient is evaluated in the emergency department an hour after the episode, she is alert, oriented, and able to speak clearly.  Temperature is 36.7 C (98.1 F), blood pressure is 102/65 mm Hg, and pulse is 62/min.  On physical examination, there are abrasions on the right forearm and shin and a rash around the nostrils and mouth.  The patient has no known medical history.  Which of the following substances is the most likely cause of this patient's symptoms?

Quizplus · Accepted Answer

Eductional Objective: Inhalant intoxication is characterized by immediate onset of euphoria, lethargy, ataxia, and/or loss of consciousness followed by rapid recovery within 45 minutes. Perioral and perinasal dermatitis (ie, "glue sniffer's rash") may be seen in chronic users.

A 13-Year-Old Girl Is Brought to the Emergency Department by Her