(Courtesy and special thanks to Dr Waleed Al Sukait)
A 27 yr old man with no previous medical illness, presented to ED with severe abdominal pain and diarrhea which is started as watery then bloody. History of constipation for the past 3 days for which he went to local herbal store and was given a laxatives beans, . After one hour of taking them the patient started to experience this abdominal pain and diarrhea.
On examination , he is rolling in bed from pain. His vitals signs as following
HR 89, BP 123/73, RR 16, Spo2 100% RA, blood sugar 7 mmol, T 37 .Abdominal exam as well other system examination are unremarkable
This is the beans he crushed and consumed
Q1: What is the name of this beans and the expected toxicity?
Q2 How you will manage this patient ?
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