ICE -Ian’s clinical emergencies 340
ICE 011: Tall Story

An 83 year old man with a past history of Type 2 diabetes, hypertension and ischaemic heart disease has become progressively unwell over the last 5 days. His GP discovered a pneumonia on CXR and has been treating him with oral antibiotics for the last 3 days but his clinical condition has continued to worsen.

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.

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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