Disease Information for Liquid ecstacy/Gamma hydroxybutyrate (GHB) intake

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Clinical Manifestations
Signs & Symptoms
Adolescent
Yellow skin discoloration
Nausea
Vomiting
Vomiting recurrent
Hypotonia
Muscle tone/decreased
Weak/Weak as a kitten (symptom)
Blackouts/Event amnesia/temporary
Confusion/Disoriented
Drowsiness/somnolence
Hand tremors
Insomnia
Lethargy/torpor
Myoclonus/Myoclonic jerks on exam
Relaxed/tranquilized feeling
Seizures
Stupor/poor reponse to stimulus
Tremor
Tremor,fine
Unconscious/Narcosis status
Weakness/Diffuse motor loss
Dyspnea
Shortness of breath/SOB
Addictive personality/traits
Volatility/wild mood swings
Acutely ill patient/signs
Constitutional symptoms
Enervated/extreme acute fatigue
Falling
Weakness
Weakness non-neuromuscular/systemic
Typical Clinical Presentation
Coma with normal Head CT Scan
Clinical Presentation & Variations
Presentation/Poisoning ER Adult Previously well
Presentation/Coma can abruptly waken
Disease Progression
Course/Acute
Course/Acute only
Course/Slow curve fast break/over hours
Demographics & Risk Factors
Exposure Factors
Exposure/reaction to something/course/pattern
Past History
Past history/Drug abuse
Established Disease Population
Patient/Drug addict history/life style
Patient/Drug overdose
Population Group
Child
Population/Pediatrics population
Event, Activity, Behavioral & Seasonal Factors
Activity/Weight lifter/body builder population
Lifestyle/Drug addiction/population
Sex & Age Groups
Population/Adolescent
Population/Adult ('twenties')
Population/Child
Population/Children/all
Laboratory Tests
Abnormal Lab Findings (Non Measured)
Toxin chromatography indentification/foods (Lab)
Abnormal Lab Findings - Increased
URINE Toxicology/Not in routine screens/missed
Associated Diseases & Rule outs
Rule Outs
Acute respiratory failure/Respiratory arrest
Cocaine Overdose
Associated Disease & Complications
Acute respiratory failure/Respiratory arrest
Amnesia
Central respiratory drive depression
Coma in Children
Coma/Unconscious
Convulsions (grand mal)
Death/Unanticipated
Drug induced Seizures
Drug induced tremor/movement disorder
Dyskinesia
GHB (gamma hydroxybutyric ) overdose
Overdose, drugs/alcohol
Sedation/torpor induced
Toxic hepatitis
Vomiting Excess/Chronic
Withdrawal syndrome
Disease Mechanism & Classification
Class
CLASS/Pediatric disorders (ex)
Drugs
DRUG/Addiction/hallucinagen/street drug (category)
DRUG/Sedative/hypnotic medication (example)
DRUG/Lowers seizure threshold
DRUG/Anesthetic Rapid onset-Rapid recovery
Pathophysiology
Pathophysiology/CNS depression
Pathophysiology/CNS Respiratory Drive Center Suppressed
Process
PROCESS/Foul play/abuse/social ills (ex).
PROCESS/Medication/Drug (CONFIRM dose/before treatment)
PROCESS/Poison/specific (category)
Toxin
TOXIN/ Delay/Slow curve fast break/hours
TOXIN/Date rape drug/potential (ex)
TOXIN/Difficult to test levels/prove
TOXIN/Lethal possible
TOXIN/NOT Diagnosed on USUALToxic screens
TOXIN/Poison Organic (category)
TOXIN/Rave party drug/Youth dating scene (ex)
TOXIN/Veterinary anesthetic agent/Drug
Synonyms
Synonym
Liquid ecstacy Gamma hydroxybutyrate (GHB), Brand name/Xyrem (GHB), Synonym/Gamma hydroxybutyrate (GHB) toxicity, Synonym/Gamma-Hydroxy Butyrate ingestion/overdose, Synonym/GBH/Grievous bodily harm drug, Synonym/GHB (Gamma hydroxybutyrate), Synonym/Goop Scoop Georgia-Home-Boy, Synonym/Grevious-Bodily-Harm (GBH), Synonym/Liquid ecstasy/Liquid X ingestion, Synonym/Sodium oxybate ingestion, Synonym/Somatomax ingestion
Treatment
Drug Dosage
DRUG/Foreign license drug (non-USA)
DRUG/Oral medication (ex)
Other Treatments
TX/Expectant/supportive treatment.
Definition

Liquid Ecstacy Street drug; has been used as Date rape drug; causes amnesia and sedation; oral use; doesn"t show on usual drug toxic screen tests--------------------------------

General anesthetic, similar to gamma amino butyric acid; recreational drug and body building use; rapid onset rapid recovery often with myoclonic jerking and confusion; deep coma 2-3 hours; glascow coma scale of 3 ith full maintenance of vital signs.-----------------------

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External Links Related to Liquid ecstacy/Gamma hydroxybutyrate (GHB) intake
Google
Wikipedia
Merck
Images
PubMed (National Library of Medicine)
NGC (National Guideline Clearinghouse)
Medscape (eMedicine)
Harrison's Online (accessmedicine)
NEJM (The New England Journal of Medicine)
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