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April 12, 2024

A 16-year-old girl presents in an unconscious state. On examination, she is pulseless, cyanotic, and has pinpoint pupils.

A 16-year-old girl presents in an unconscious state. On examination, she is pulseless, cyanotic, and has pinpoint pupils. Upon cardiopulmonary resuscitation and intubation, circulation is achieved within four minutes. Arterial blood gas (ABG) reveals a mixed presentation of respiratory and metabolic acidosis. The girl is placed on mechanical ventilation and is started on whole-body cooling therapy for 48 hours. Blood and urine toxicology screens are ordered. Which of the following is the most likely cause of the patient’s presentation? A. Cocaine B. Morphine C. Amphetamines D. Phencyclidine

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