Complications of Ketamine Abuse

​​BY STUART ETENGOFF, DO, &ABDULLAH ​BOKHARI​, AB, DOA 20-year-old Caucasian man presented via EMS with a chief complaint of withdrawal from ketamine and secondary complaints of abdominal pain, blood in his urine, and painful urination with urgency for two days.He said he had been using ketamine intravenously daily for the past five days, up to 35 grams over the past week. His last use was 24 hours prior to presentation to the ED. He stated that he had been using ketamine regularly for four years and that he has used it intravenously, orally, and intranasally.He reported a history of ADHD and a family history of bipolar disorder and substance abuse. His mother had died two years earlier from an opiate overdose. He said he used ketamine daily, and had also used marijuana, cocaine, opiates, nitrous oxide, heroin, mushroom, tobacco, and occasionally alcohol.The patient described his abdominal pain as sharp and crampy, radiating from the bladder upward with associated nausea for two days. He denied flank pain, recent trauma, any history of previous abdominal pain or urinary tract infection, fever, chills, discharge, diarrhea, constipation, chest pain, shortness of breath, and blood in stool. He also had no previous history of hematuria, kidney stones, or sexually transmitted diseases.He appeared to be in mild to moderate discomfort and anxious, and was alert and oriented to person, place, and time. His blood pressure was 143/95 mm Hg, pulse 111 bpm, respiratory r...
Source: The Case Files - Category: Emergency Medicine Tags: Blog Posts Source Type: research

Related Links:

arbon monoxide intoxications are among poisonings regularly encountered in forensic medical and toxicological practice. Most often these are accidental poisonings or due to fire gases, less often - suicidal. The aim of this paper is to describe the first -...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Poisoning Source Type: news
This study compares suicide and non-suicide incidents in the United States by analyzing data from the U.S. Extremist Crime Database (ECDB) on terrorist incidents committed by extreme far-right (FR) and radical Islamic terrorists between 1990 and 2014. Draw...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Research Methods, Surveillance and Codes, Models Source Type: news
The purpose of this paper is twofold: first, to argue that substance use is a real risk for people who experience disaster, and especially so for socially vulnerable populations; second, to incorporate questions that help measure substance use during the d...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Alcohol and Other Drugs Source Type: news
This research investigates the source of Black-White differences in drug arrests by conducting a neighborhood-level test of the differential police scrutiny and racially discriminatory policing hypotheses. The study examines drug arrests made across 78 nei...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Alcohol and Other Drugs Source Type: news
This article estimates the relationship between alcohol outlets and crime at micro place street units in Washington, D.C. The analysis tests several spatial hypotheses on the local and spatial diffusion effects of on-premise and off-premise alcohol outlets...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Alcohol and Other Drugs Source Type: news
Too many details to discuss, but essentially a known asthmatic had severe bronchospasm on induction, lungs do tight CRNA could hardly ventilate. By the time I arrived, pt blue, sats 19 and could hardly move air. Albuterol has been attempted to delivered unsuccessfully. I bolused 10mcg of epi incrementally until it cleared up. Extubated and did fine. One of my partners then asked why I didn’t give Sux to break the bronchospasm. I had never considered giving Sux unless there... Severe intraoperative bronchospasm
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Anesthesiology Source Type: forums
ABSTRACT Objective: To compare religious coping (RC) in patients with COPD and healthy individuals, as well as to determine whether RC is associated with demographic characteristics, quality of life, depression, and disease severity in the patients with COPD. Methods: This was a cross-sectional study conducted between 2014 and 2016, involving outpatients with moderate to severe COPD seen at one of two hospitals in Fortaleza, Brazil, as well as gender- and age-matched healthy controls. The Brief RCOPE scale assessed RC in all of the participants. We also evaluated the COPD group patients regarding symptoms, quality of life,...
Source: Jornal Brasileiro de Pneumologia - Category: Respiratory Medicine Source Type: research
ABSTRACT Objective: To compare religious coping (RC) in patients with COPD and healthy individuals, as well as to determine whether RC is associated with demographic characteristics, quality of life, depression, and disease severity in the patients with COPD. Methods: This was a cross-sectional study conducted between 2014 and 2016, involving outpatients with moderate to severe COPD seen at one of two hospitals in Fortaleza, Brazil, as well as gender- and age-matched healthy controls. The Brief RCOPE scale assessed RC in all of the participants. We also evaluated the COPD group patients regarding symptoms, quality of life,...
Source: Jornal Brasileiro de Pneumologia - Category: Respiratory Medicine Source Type: research
thats the title of the latest article on front page of the AN. Our hospitals and more places I know are following more guidelines where nobody can walk in and out of the OR once a case starts. Mainly for orthopedic procedures. What are your thoughts on this and are the clipboard nazis at your hospitals enforcing this? In addition to the jackets, bouffants, beard covers, etc....
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Anesthesiology Source Type: forums
el PA Abstract PURPOSE: To assess Cyclosporine A (CsA) therapy at an intraperitoneal dose of 15 mg.kg -1 in a rodent model of non-septic renal ischemia. METHODS: Twenty male Wistar rats were randomized to receive CsA therapy or none therapy before undergoing 30 minutes of renal ischemia followed by reperfusion. Additionally, 10 rats were randomized to undergo the same surgical procedure of the aforementioned animals with neither ischemia nor CsA therapy. Twelve hours after kidney ischemia, the left kidneys were evaluated for histological injury according to Park's criteria. Serum creatinine (Cr), urea nitroge...
Source: Acta Cirurgica Brasileira - Category: Surgery Authors: Tags: Acta Cir Bras Source Type: research
More News: Acetaminophen | Acid Reflux | Addiction | ADHD | Alcoholism | Anesthesia | Anesthesiology | Bilirubin | Bipolar | Blogging | Brain | Calcium | Cellulitis | Chloride | Chronic Pain | Constipation | Cystitis | Cystoscopy | Depression | Emergency Medicine | Gastroesophageal Reflux Disease | GERD | Hydronephrosis | Incontinence | Kidney Stones | Lortab | Mania | Mushrooms | Neurology | Overdose | Pain | Phenazopyridine | Potassium | Respiratory Medicine | Sexual Abuse | Smokers | Sodium | STDs | Study | Substance Abuse | Substance Abuse Disorders | Toxicology | Ureter and Renal Pelvis Cancer | Urinary Tract Infections | Urology & Nephrology