> Is the mention of a warm skin a clue to this having turned out to be an
> anticholinergic OD? Still wouldn't give physostigmine etc. though.
> Final possibility is pre-existing anisocoria (or contact lens in one eye)-
> I wouldn't rely on a 1mm difference being reliably reproduced [Matt Dunn]
I agree, Matt. Warm skin, tachycardia, fitting, decerebrate posturing,
dilating pupils, all sounds suspiciously like the anticholinergic (and
other) effects of a tricyclic antidepressant overdose. And I don't think
this causes pyrexia, does it? Anyway, incredibly difficult to treat when it
reaches this stage...
I suppose we need instalment two from Rowley, which I hope includes results
of ECG and ABG etc.
Adrian Fogarty
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