View source for Inocybe

==Background==
[[File:Inocybe geophylla.jpg|thumb|''Inocybe geophylla]]
*Genus of potentially poisonous mushroom
*Many species contain ''muscarine'', a toxin that causes [[cholinergic]] symptoms
*Rare species contain the hallucinogenic [[psilocybin]]

==Clinical Features==
*Symptoms usually start within 0.5-2hrs and resolve within 12hrs<ref>http://www.ozemedicine.com/wiki/doku.php?id=mushrooms</ref>
*Muscarine
**SLUDGE(M) syndrome (hyperperistalsis)
***Salivation, Lacrimation, Urination, Diarrhea, GI pain, Emesis, Miosis
**[[Bradycardia]]
**Miosis
**Bronchorrhea / Bronchospasm
**Sweating
**Vasodilation
*Psilocybin
**Sensory/psychiatric
***Euphoria, visual [[hallucinations]], synesthesia
***[[Lethargy]], [[depression]], [[anxiety]], [[agitation]]
***[[Confusion]], disorientation
**Sympathetic effects
***Mydriasis
***[[Tachycardia]], [[hypertension]]

==Differential Diagnosis==
{{Mushroom toxicity DDX}}
{{SLUDGE DDX}}


==Evaluation==
*Clinical diagnosis
*Evaluate for alternative etiology of symptoms

==Management==
*[[Atropine]] PRN for muscarinic symptoms
*Supportive care, [[benzos]] for unpleasant psilocybin symptoms

==Disposition==


==See Also==
*[[Mushroom toxicity]]

==External Links==


==References==
<references/>
[[Category:Toxicology]]