Your patient is a 27-year-old male who is found unconscious on a bathroom floor. He is not breathing, has pinpoint pupils, and has a fresh puncture wound to his right forearm. He has multiple scars that form a bluish streak over the veins of the backs of both hands. This patient is most likely suffering from

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Your patient is a 27-year-old male who is found unconscious on a bathroom floor. He is not breathing, has pinpoint pupils, and has a fresh puncture wound to his right forearm. He has multiple scars that form a bluish streak over the veins of the backs of both hands. This patient is most likely suffering from