Rebellious Story been having these “episodes”. She has been posting to Instagram for help in dx these episodes. I honestly think she is suffering from Benadryl toxicity. Jaquie had it happen and she was removed from the CDI because of it.
ETA: there’s been a few people who’ve observed her episodes are most likely Benadryl toxicity/anticholerengic toxicity. It wasn’t my idea or hunch. It was another instagramer who brought it to my attention.
Anticholinergic Toxicity:
Due to potential difficulty in obtaining a reliable history, it is critical that the clinician be familiar with the anticholinergic toxidrome. The memory aid “red as a beet, dry as a bone, blind as a bat, mad as a hatter, hot as a hare, full as a flask” is helpful to remember the classic signs and symptoms of anticholinergic poisoning which include flushing, anhydrosis, dry mucous membranes, mydriasis, altered mental status, fever, and urinary retention. Decreased bowel sounds are also a common physical exam finding. CNS effects may include delirium, hallucinations, agitation, restlessness, confusion, staccato speech, and picking at clothing and bedding. Seizures and jerking movements are possible.
Due to potential difficulty in obtaining a reliable history, it is critical that the clinician be familiar with the anticholinergic toxidrome. The memory aid “red as a beet, dry as a bone, blind as a bat, mad as a hatter, hot as a hare, full as a flask” is helpful to remember the classic signs and symptoms of anticholinergic poisoning which include flushing, anhydrosis, dry mucous membranes, mydriasis, altered mental status, fever, and urinary retention. Decreased bowel sounds are also a common physical exam finding. CNS effects may include delirium, hallucinations, agitation, restlessness, confusion, staccato speech, and picking at clothing and bedding. Seizures and jerking movements are possible.
