Internal Medicine practice

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Acute Carecommon
A 19-year-old man is brought in by friends four hours after a party. He is agitated, mumbles continuously and plucks at the bedclothes, and does not know where he is. His skin is dry and flushed and his temperature is 38.4 C. His pupils are 7 mm and sluggish. Pulse 128/min, blood pressure 140/85 mmHg, respiratory rate 20/min. His bladder is palpable to the umbilicus and the abdomen is silent. Which one of the following ingestions best accounts for his presentation?