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Marijuana
From WikEM
Contents
Background
- Marijuana is the most commonly used illegal substance in the world[1]
Clinical Features
- Excessive and purposeless motor activity of the extremities (hyperkinesis)
- Lethargy
- Tachycardia
- hypertension or orthostatic hypotension
- Tachypnea
- Conjunctival injection
- Dry mouth
- Increased appetite
- Nystagmus
- Ataxia
- Slurred speech
Differential Diagnosis
- Hypoglycemia
- Meningitis/Encephalitis
- TBI
- Drugs - Opioids, Antihistamines, Anticholinergics, Antipsychotic agents
- CO poisoning
Drugs of abuse
- Cocaine
- Ecstasy
- Marijuana
- Amphetamines
- Alcohol
- Synthetic cannabinoids
- Bath salts
- Heroin
- 25C-NBOMe
- Inhalant abuse
- Gamma hydroxybutyrate (GHB)
- Phencyclidine (PCP)
- Psilocybin (magic mushrooms)
Evaluation
- Clinical Diagnosis
- Utox helpful, but can be negative with synthetic cannibis
Management
- Supportive care, if concerned for mixed ingestion, try other reversal agents
Disposition
- Discharge when clinically sober
See Also
External Links
References
- ↑ Leggett T, United Nations Office on Drugs and Crime. A review of the world cannabis situation. Bull Narc 2006; 58:1.
