![]() The patient had an uneventful course and was discharged in stable condition. This feeling happens because cocaine stimulates. This feeling of euphoria is short-term and generally only lasts for about 30 minutes. The main cocaine high effect that a person who snorts cocaine feels is an intensely pleasurable feeling, known as euphoria. A follow-up CT scan at 48 hours showed improvement in soft tissue emphysema and pneumomediastinum. When you snort cocaine, it is described as a feeling of alertness, energy, and power. The patient likely had a micro-perforation in the pharynx as supported by the initial presentation. To assess for any perforation in his pharynx and esophagus, a barium swallow test was done. The patient remained stable and was treated conservatively. (Figure-2) Blood labs including CBC, CMP, and ABG were all normal. Snorting is the process of inhaling cocaine powder through the. Luckily, I found some explanation online. Three routes of administration are commonly used for cocaine: snorting, injecting, and smoking. For example, snorting cocaine is inhaling cocaine powder through the nose where it is absorbed through the nasal. (Figure1) This was followed by a CT scan of the chest showing pneumomediastinum, with soft tissue emphysema in the right supraclavicular fossa and bilateral thoracic inlet. Answer (1 of 3): I was watching The Wolf of Wall Street the other day and wondered the same thing. Snort: Take in a drug by nasal inhalation. X-Ray of his neck showed soft tissue emphysema around the neck with more involvement on the right side and in retropharyngeal space. There were equal and clear breath sounds on both sides. His airway was patent without any stridor or wheezing. ![]() While cocaine can be injected into the veins, ingested as a powder, or rubbed directly onto the nose and tongue, the Center for Substance Abuse Research reports that snorting is the most common method of abuse. It is also possible to experience psychosis as a result of crack abuse. Cocaine is a stimulant drug, and it’s typically sold as a white powder. Crack cocaine brought on great mental instability like anxiety, delirium, and hallucinations as a result of not sleeping enough, paranoia, and severe depression. In fact, not only does cocaine have an antidepressant effect but it also works as a local anesthetic therefore, if anything, it causes a numbing sensation which would eliminate any pain anyway, at least for a short period of time. Examination revealed crepitus on the right side of his neck and proximal clavicle. Snorting crack cocaine also leads to a lot of other mental and physical problems for myself, and so many others. It does, however, cause you to sniff a lot afterwards. ![]() His vitals on admission revealed a heart rate of 100 bpm, a respiratory rate of 18 per minute, oxygen saturation of 98% on room air, and blood pressure of 167/86. This was his first time and he complained of neck and throat pain with some dysphagia. CASE PRESENTATION: A 24-year-old male with a past medical history of asthma and tobacco abuse presented to the emergency department six hours after snorting cocaine.
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