An 18-year-old woman presented to the emergency department. She was agitated, confused, and verbally aggressive. Her friends reported a fitting episode lasting 30 seconds en route to the hospital. They also reported that she had taken some pills.
Examination Temperature: 38°C Heart rate: 130/min Blood pressure: 170/130 mmHg SaO 2 : 99% in room air Excessive diaphoresis and grossly dilated pupils (size 5) What are the differential diagnoses in this case? *This patient case is from the Docplexus Editorial Team for educative purposes only. Source: 100 Cases in Acute Medicine
