Four individuals presented to the ER with several signs and symptoms (see table 1). While taking their history, you ask if they’ve recently ingested anything. At first, they didn’t claim anything but then one remembered they went mushroom hunting and added it to a stew.
Four individuals presented to the ER with several signs and symptoms (see table 1). While taking their history, you ask if they’ve recently ingested anything. At first, they didn’t claim anything but then one remembered they went mushroom hunting and added it to a stew. You’re truffle hunting skills paid off when you identified the mushroom from their photo of it as Amanita Muscaria, a mushroom containing the neurotoxin muscarine.
Deliverables
Review the article above, answer the following questions and save your responses in a Microsoft Word document. Provide a scholarly resource in APA format to support your answers.
Four individuals presented to the ER with several signs and symptoms (see table 1).
- Looking at the signs and symptoms, you notice that one of the two branches of the autonomic nervous system (ANS) is highly upregulated. Which one is it? Name three signs or symptoms that clued you in on it and why.
- What receptor do you think muscarine binds to in the ANS? What neurotransmitter usually binds to the receptor?
- At first, it seemed odd that three out of four of your patients were sweating. It makes sense now that you know what they ate. Why?
- Treatment for this issue includes the use of atropine. Atropine is anticholinergic. Define anticholinergic and determine why you would use it in this case.
Case 1
Case 2
Case 3
Age /sex
39 Male
17 female
19 male
Exhaustion
Yes
Yes
Yes
Convulsions
No
No
No
Sweating
Yes
Yes
Yes
Miosis
Yes
Yes
Yes
Ptosis
Yes
Yes
Yes
Bronchorrhea
Yes
Yes
Yes
Cough
Yes
Yes
Yes
Rhonchi/Crepts
Yes
Yes
Yes
Bradycardia
34/min
40/min
44/min
Hypotension
70/40
70/40
100/69
Abdominal Cramps
Yes
Yes
Yes
Diarrhea
Yes
Yes
Yes
Vomiting
Yes
Yes
Yes
Muscular cramps
Yes
No
No
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