A 31-year-old man with opioid use disorder abruptly discontinues heroin. Two days later, he presents with piloerection, rhinorrhea, lacrimation, abdominal cramping, and yawning. Vital signs show BP 138/88 mmHg, HR 102 bpm, RR 18/min, and temperature 37.8°C. Physical examination reveals mydriasis and hyperreflexia. Urine drug screen is negative for opioids. He denies recent acetaminophen use. Which of the following best describes this syndrome?
- A)Life threatening withdrawal usually causing seizures
- B)Sedative-hypnotic overdose
- C)Anticholinergic intoxication
- D)Digoxin toxicity
- E)Withdrawal from opioidsGABARITO
Explicação
Opioid withdrawal causes mydriasis, piloerection, lacrimation, rhinorrhea, diarrhea, and abdominal cramping. It is profoundly uncomfortable but usually not life threatening, in contrast to severe alcohol or benzodiazepine withdrawal. Ver explicação completa e trilha adaptativa →