Paracetamol-Induced Hepatotoxicity
A case of paracetamol-induced hepatotoxicity with a discussion of the Schiodt scoring system for predicting paracetamol-induced liver failure.
Category Toxicology
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...
Seafood poisoning
A couple present to the ED with vomiting and paraesthesiae after eating at a seafood restaurant. Can you help them by solving the seafood poisoning conundrum?
Hypoglycemia, but how?
A man presents with hypoglycemia, but has no history of any other illness nor a history of ingesting a hypoglycemic agent. Can you unravel the puzzle?
Smoking is deadly
A 37 year-old man is BIBA to the emergency department following a fire at his apartment. He has a fluctuating level of consciousness (currently GCS 11) and is hypotensive (BP 85/50). He has no evidence of airway compromise, burns or other significant injury.
Paralysis and a head lump
A 5 year old girl is unable to walk and is becoming progressively weaker. She also complained of a lump on her head. Can you make the diagnosis?
Life in the TOO fast lane?
There has been an avalanche of new recreational drugs hitting the streets recently. Apart from a few anecdotal reports, most of the information available to clinicians comes from those involved in drug culture. Given these limitations, treatment of toxicity from these new recreational drugs should be guided by the clinical manifestations and the known pharmacology of these agents. They're coming to an ED near you soon - are you ready?
Stiff and Twisted
Acute dystonic reactions are a distressing extrapyramidal side effect of antipsychotic and certain other medications.
The Antidote Challenge
Take the antidote challenge - see if you're ready to join the ranks of the toxicology mavens by naming the antidote for each of these poisons.