March 15, 2010

Toxicology

Toxicology Resources

Toxicology Conundrums

As an ongoing project we will be posting targeted case-based question-&-answer postings designed to highlight important principles, pitfalls, and ‘tricks of the trade’ for the clinical assessment and management of poisoned and envenomed patients.

The problems are based on cases seen in hospitals in Australia, calls to the Poison Information Centre, as well as a variety of other sources including published books and papers, presentations and toxicology meetings.

We hope they will be useful to non-specialists – who may have to see patients in EDs, ICUs and/or remote settings without the benefit of an “on site” toxicology service – as well as the “budding” clinical toxicologist.

001 002 003 004 005 006 007 008 009 010
011 012 013 014 015 016 017 018 019 020
021 022 023 024 025 026 027 028 029 030

Toxicology Cases By Diagonosis

Antidepressant, citalopram 017
Antidepressant, tricyclic 022
Buprenorphine (suboxone) 006
Chloral hydrate 020
Fish, Lionfish 013
Fish, Stingray 012
Jellyfish, Box (Chironex fleckeri) 010
Jellyfish, Irukandji syndrome 008009
Mercury, elemental 002
Octopus, Blue-ringed 011
Paracetamol (RSI) 001
QT prolongation 017
Snake, unknown 005
Spider, necrotizing arachnidism 018
Spider, Redback 003004
Spider, White-tailed 018
Strychnine 007
Theophylline 014
Thyroxine 019
Warfarin 015016021

The approach used is based on the “The Toxicology Handbook” (by Lindsay Murray, Frank Daly, Mark Little, and Mike Cadogan) – with links to other references where appropriate. Remember if you require urgent assistance with poisoning or envenoming – contact the Australia Poisons Information Service [PIC].

"I need help... Someone's stolent my Tox Handbook!"

"I need help… Someone's stolen my Tox Handbook!"

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