You have been called for a 13-year-old boy who was caught sniffing glue by his parents. The boy is lethargic and confused and complaining of burning to the mouth and nose as well as nausea and vomiting. Based on the clinical presentation and mechanism of illness, how has this poison affected the boy's brain?
A) Absorbing through the small intestine into the blood stream and then on to the brain
B) Directly contacting the brain by crossing the mucous membranes of the mouth and nose
C) Fumes from the glue were absorbed through the mucous membranes of the eyes and then on to the brain
D) Crossing from the lungs into the blood stream and then circulating to the brain
Answer: D
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