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lüll Emergency department presentation of ketamine abusers in Hong Kong: a review of 233 cases Ng SH; Tse ML; Ng HW; Lau FLHong Kong Med J 2010[Feb]; 16 (1): 6-11OBJECTIVES: To study the acute clinical presentations of ketamine abusers in Hong Kong. DESIGN: Retrospective chart review. SETTING: Fifteen accident and emergency departments in Hong Kong. PATIENTS: Consultations associated with recent ketamine use either confirmed by history or urine test were searched for from the database of the Hospital Authority Hong Kong Poison Information Centre from 1 July 2005 to 30 June 2008. Their medical records and investigation results were analysed. RESULTS: A total of 233 records of ketamine use were included for review. Patient ages ranged from 13 to 60, with a median of 22 years, and the male-to-female ratio being 2.1:1. The most common symptoms of ketamine misuse were impaired consciousness (45%), abdominal pain (21%), lower urinary tract symptoms (12%), and dizziness (12%). The most common abnormal physical findings were high blood pressure (40%), followed by tachycardia (39%), abdominal tenderness (18%), and white powder in the nostrils (17%). CONCLUSION: Most ketamine abusers presented acutely with transient central nervous system depression, abdominal pain, or lower urinary tract symptoms. Clinicians should be alert to the typical age-group, signs and symptoms of such abusers presenting in an acute medical setting.|*Emergency Service, Hospital[MESH]|Adolescent[MESH]|Adult[MESH]|Anesthetics, Dissociative/*adverse effects[MESH]|Female[MESH]|Hong Kong[MESH]|Humans[MESH]|Ketamine/*adverse effects[MESH]|Male[MESH]|Middle Aged[MESH]|Retrospective Studies[MESH]|Substance-Related Disorders/*complications[MESH] |