An 18-year-old male presents to emergency department after ingesting an unknown quantity of lysergic acid diethylamide (LSD). His friends brought him in because he was “acting goofy.” He is not currently suicidal and has no plan to hurt himself. He claims not to have taken any other substances. PMH: None. SH: No previous suicide attempts and no history of depression. Physical Examination: T: 100.4°F HR: 124 bpm RR: 18 breaths per minute BP: 150/90 mm Hg General: Agitated and actively hallucinating. The skin is moist and pale. HEENT: Pupils are 4 mm bilaterally with sluggish light reaction. No nystagmus.
Pulmonary: Clear to auscultation. CV: Regular rate and rhythm without murmur. Abdomen: Soft and nontender with hyperactive bowel sounds. Neurologic: GCS 14. Cranial nerves II-XII intact. Fine tremor. What are the usual signs of acute toxicity? *This case is from…
