How extensive is the review of systems for the evaluation of suspected cocaine toxicity?

Updated: Sep 01, 2018
  • Author: Lynn Barkley Burnett, MD, EdD, LLB(c); Chief Editor: Sage W Wiener, MD  more...
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Answer

Review of systems is as follows:

  • Is the effect of cocaine increased secondary to liver disease or heart failure? Is evidence of myocardial infarction or coronary artery disease present? Is the patient showing evidence of a dysrhythmogenic substrate (eg, myocarditis, cardiomyopathy, Wolff-Parkinson-White syndrome)?

  • When considering the extent of the review of systems (ROS), be mindful of the wide range of organ systems that cocaine and its routes of administration can affect.


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