TOP-100-ECG-QUIZ-340
ECG Case 083

63 yr old female who presented with a 3 day history of colicky right upper quadrant abdominal pain. She is normally fit and well and has no prior past medical history. Describe and interpret this ECG. LITFL Top 100 ECG

ICE -Ian’s clinical emergencies 340
ICE 010: Skin rash and fever

A 22 year old man has just returned from a surfing trip to Timor. While away he developed a fever, headache and generalised aches and pains. The fever settled for a day or two but has now returned and he has developed a rash. The aches and pains continue unabated. He feels miserable.

Toxicology-Library-Toxicant-Drug-340-256
Mirtazapine toxicity

Mirtazapine is a novel tetracyclic antidepressant, in overdose it frequently has a benign course with mild CNS depression and tachycardia.

Toxicology-Library-Toxicant-Drug-340-256
SNRI toxicity

SNRIs or Selective serotonin and noradrenaline reuptake inhibitors are mainly in the form of venlafaxine and desvenlafaxine. Venlafaxine in overdose can be potentially life threatening, causing seizures and cardiotoxicity.

Toxicology-Library-Toxicant-Drug-340-256
SSRI toxicity

SSRIs or Selective serotonin reuptake inhibitors are common in overdose and usually follow a benign course. Serotonin toxicity occurs in a minority but is more common with co-ingestant agents with serotonergic action

Toxicology-Library-Toxicant-Drug-340-256
TCA toxicity

This is your one stop page for TCA overdose. Find out how to manage the acute overdose and the potential complications. We have also covered the basic TCA pharmacology and a tutorial about sodium channel blockade and the ECG, find out why the QRS will widen.

Toxicology-Library-Toxicant-Drug-340-256
Non-sedating Antihistamines

The non-sedating antihistamines include cetirizine, desloratadine, fexofenadine, levocetirizine and loratadine. In overdose they cause mild CNS depression, in therapeutic and supra therapeutic doses they have been associated with QT prolongation.