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:
Acetaminophen overdose
Amphetamine toxicity
Organophosphate poisoning
Atropine poisoning
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
Anaesthesia