Another TCA overdose!
A classic overdose for you to ponder in classic Q&A style, which incidentally marks the 50th toxicology conundrum on LITFL!
Category Clinical Cases
LITFL Clinical Case Collection. Over 250 Q&A style clinical cases to assist Just in Time Learning and Life Long Learning. Cases are categorised by specialty and can be searched by keyword from the database table
Alprazoslammed
An ingestion of 100mg of alprazolam... Boring benzodiazepine or badness brewing? Find out in this case-based series of questions-and-answers.
Lithium, Vomiting And Diarrhoea
Your next patient has swallowed over 80 grams of lithium. What are you going to do about it?
Brain Dead?
A baffling case of apparent brain death... Can you work out what has happened? A 35-year old female with a history of multiple sclerosis and depression is found collapsed at home. She is known to have access to quetiapine.
A Fumbling, Mumbling Mess!
A 41-year old man is brought to ED after becoming drowsy while in police custody. He states that he has taken an overdose of diazepam tablets prior to being arrested. A puzzling case of drug-induced delirium. Can you solve the mystery?
Paracetamol-Induced Hepatotoxicity
A case of paracetamol-induced hepatotoxicity with a discussion of the Schiodt scoring system for predicting paracetamol-induced liver failure.
No Radial Pulse
Your patient's finger tips have turned blue, and the paramedics are unable palpate a radial pulse.... "Is he in cardiogenic shock?" could this be Raynaud's phenomenon
Propanolol Overdose
aka Toxicology Conundrum 044 A 27-year old female weighing 60kg presents to ED approximately one hour after swallowing 70 x 40mg propranolol tablets (= 2.8 grams) with suicidal intent. At the time of assessment she is drowsy (GCS 13) with…
Mistaken Identity
A 22 year old presents to the ED following the alleged ingestion of fenofibrate tablets 2 hours prior to presentation.
Therapeutic Showering
A review of the literature on the assessment and management of the patient suffering from cannabinoid hyperemesis syndrome.
A Remorseless Poison
A 20 year-old female had a polypharmacy overdose 36 hours ago. She has had symptoms of GI upset (nausea and vomiting), some anxiety and mild confusion. Her life is in your hands...
A Toxic Slumber
A 3 year-old boy is BIBA with a reduced level of consciousness. He is protecting is airway, has a respiratory rate of 15/min, a pulse rate of 70/min and blood pressure of 85/35 mmHg. He is responsive to painful stimuli and has pupils 2mm in diameter. Can you keep out of harm's way?