system
Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
A 50-year-old man is brought to the emergency department by his wife with acute onset confusion, disorientation, and agitation. The patient's wife reports that he has diabetic gastroparesis for which he takes domperidone in 3 divided doses every day. He also takes insulin glargine and insulin lispro for management of type 1 diabetes mellitus and telmisartan for control of hypertension. Today, she says the patient forgot to take his morning dose of domperidone to work and instead took 4 tablets of scopolamine provided to him by a coworker. Upon returning home after 4 hours, he complained of dizziness and became increasingly drowsy and confused. His temperature is 38.9°C (102.0°F), pulse rate is 112 /min, blood pressure is 140/96 mm Hg, and respiratory rate is 20/min. On physical examination, the skin is dry. Pupils are dilated. There are myoclonic jerks of the jaw present. Which of the following is the most likely cause of this patient’s symptoms?
assistant
Scopolamine overdose