Body system | Finding | Medical indication | Drug (s) |
---|---|---|---|
General | Hyperthermia | Intoxication | Synthetic hallucinogens, bath salts |
Head & neck | Conjunctival injection | Recent use | Synthetic cannabinoids |
Smoky chemical smell on breath | Recent smoking | Any smoked designer drug | |
Epistaxis | Intranasal use | Bath salts, synthetic hallucinogens | |
Nasal septal perforation | Intranasal use | Bath salts | |
Poor dentition | Inadequate oral hygiene | Bath salts | |
Jaw clenching, teeth grinding (bruxism) | Intoxication | Bath salts | |
Cardiac | Tachycardia | Recent use | Any designer drug |
Hypertension | Recent use | Any designer drug | |
Chest pain | Cardiac ischemia, myocarditis | Bath salts, synthetic cannabinoids | |
Renal | Acute kidney injury | Recent use | Synthetic cannabinoids |
Gastrointestinal | Nausea, vomiting | Recent use or withdrawal syndrome | Synthetic cannabinoids |
Enlarged and/or tender liver | Acute hepatitis | Any injected designer drug | |
Musculoskeletal | Muscle spasms | Intoxication | Bath salts |
Limb swelling and pain | Rhabdomyolysis | Bath salts, synthetic hallucinogens | |
Skin | Diaphoresis | Recent use | Bath salts |
Ecchymosis | Recent use or intoxication | Synthetic hallucinogens | |
Fresh needle marks, track marks | Injection drug use | Any injected designer drug | |
Neurologic | Clonus | Recent use | Synthetic hallucinogens |
Seizures | Intoxication | Bath salts, synthetic hallucinogens, synthetic cannabinoids | |
Psychiatric | Agitation | Recent use | Any designer drug |
Hallucinations | Recent use | Any designer drug | |
Psychosis | Intoxication | Any designer drug |