Mistaken Identity

Mislabelled Medicine

A 22 year old presents to the ED following the alleged ingestion of fenofibrate tablets 2 hours prior to presentation.

A Remorseless Poison

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A 20 year-old female had a polypharmacy overdose 36 hours ago. She has had symptoms of GI upset (nausea and vomiting), some anxiety and mild confusion. Her life is in your hands…

A Toxic Slumber

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A 3 year-old boy is BIBA with a reduced level of consciousness. He is protecting is airway, has a respiratory rate of 15/min, a pulse rate of 70/min and blood pressure of 85/35 mmHg. He is responsive to painful stimuli and has pupils 2mm in diameter. Can you keep out of harm’s way?

Smoking is deadly

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A man is BIBA following a fire. He has an altered mental state and is hypotensive with a COHb of 21% and a lactate of 14 mmol/L. Can you keep him alive?

Hypoglycemia, but how?

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A man presents with hypoglycemia, but has no history of any other illness nor a history of ingesting a hypoglycemic agent. Can you unravel the puzzle?

Ethylene glycol inebriation

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A 5 year-old boy is ‘off his face’ after drinking what looked like a nice bottle of cordial. It was actually radiator coolant. You are called for advice.

The toddler with the Iron gut

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A 3 year-old boy ingested 50 mg/kg elemental iron 2 hours ago. You are called for advice about the management of iron poisoning from a remote hospital.

Chloroquine poisoning?

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Two chloroquine tablets have gone missing and the 2 year-old suspect is ‘keeping mum’ about it. Now what do you do? What if life-threatening toxicity occurs?

Corrosive ingestion

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A child has scooped up crystals from a sink and put them in his mouth, resulting in immediate distress. How will you manage this corrosive injury?

The Antidote Challenge

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Take the antidote challenge – see if you’re ready to join the ranks of the toxicology mavens by naming the antidote for each of these poisons.