Category Toxicology
Toxicology-Conundrum-340 256

Thyroxine overdose

A 34 year-old female with a past medical history of Hashimoto's thyroiditis (currently taking thyroxine 200 mcg daily) who took an overdose of 60 x 200 mcg thyroxine 6 hours ago

Toxicology-Conundrum-340 256

Tricyclic antidepressant toxicity

A 25 year-old male (70 kg) is brought in by ambulance 30 to 60 minutes after ingesting 70 x 50mg amitriptyline. He is tachycardic (HR 120) with an otherwise 'normal' ECG (QRS 95 ms) but is becoming drowsy. You are called to the resuscitation room to assess him.

Toxicology-Conundrum-340 256

Supratherapeutic INR

A 70 year-old man has presented to your emergency department to get his INR checked. It is markedly elevated - how should you manage this?

Toxicology-Conundrum-340 256

Irukandji Syndrome Territory-style

You are working as a locum doctor in the Northern Territory. Your patient is a 32 year-old Indonesian man who says he was stung while hauling in a net on an offshore fishing vessel.

Toxicology-Conundrum-340 256

It was the little octopus!

A 21 year-old sailor placed a small blue and yellow octopus on his shoulder while wading back to shore after spear-fishing with a friend. As he reached the beach he threw the little octopus into the sea

Toxicology-Conundrum-340 256

Stingray envenoming

While riding in a boat off the North Queensland coast a 12 year-old boy was struck by a large fish that had catapulted itself out of the water.

Toxicology-Conundrum-340 256

Lionfish envenoming

Clinical case of a man being stung on the distal palmar surface of his right index finger by his lionfish (Pterois volitans) while cleaning his aquarium.

Toxicology-Conundrum-340 256

Little Johnny and Grandad’s warfarin

Little Johnny is an inquisitive 15kg 3 year-old boy. His grandad was looking after him for the evening. About an hour ago, the phone rang just as grandad was about to take his evening warfarin tablets. Although he only turned his back for a second, there was enough time for little Johnny to start ploughing into the tablets...

CCC Critical Care compendium 340

Cocaine Toxicity

Cocaine Toxicity potentially life-threatening sympathomimetic syndrome with sodium channel blockade.

CCC Critical Care compendium 340

Sodium Valproate Overdose

Sodium valproate is a commonly used anti-epileptic drug, that come sin standard and enteric coated forms. Toxicity is characterised by metabolic failure, resulting in multi-organ dysfunction and cerebral edema