Marijuana

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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

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

  1. Leggett T, United Nations Office on Drugs and Crime. A review of the world cannabis situation. Bull Narc 2006; 58:1.