Serotonin toxicity
A 23 year-old female is brought to your ED by a friend. She appears anxious, distressed and confused. A friend volunteers that the patient had seen a GP in the past few weeks as she was feeling depressed.
Tag Toxicology Conundrum
Valproate: Big Dose, Big Trouble!
A man presents with decreased level of consciousness following a probable ingestion of 96g of sodium valproate. Can you handle this toxicological emergency?
Toxicology Mnemonic Challenge
There are multiple learning tools used as an adjunctive aide memoire. Herewith a collection of Toxicological related mnemonics used with varying frequency throughout the conundrums. Let us know if you have any more to add...
Why so blue?
A 40-year-old man presented to the emergency department with shortness of breath, chest pain and reported a pre-syncopal episode. But why so blue?
Seizures, Sedation and Saliva
A 21-year-old male with a background of schizophrenia and previous intentional overdose, weighing 70kg, was brought to the ED via ambulance after having a witnessed seizure at home.
Stuffed, Speeding and Busted!
Just before being busted by the cops, your patient stuffed a package containing metamphetamines into his mouth and swallowed. How are you going to handle this one?
Another TCA overdose!
A classic overdose for you to ponder in classic Q&A style, which incidentally marks the 50th toxicology conundrum on LITFL!
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.