A classic overdose for you to ponder in classic Q&A style, which incidentally marks the 50th toxicology conundrum on LITFL!
Alprazoslammed
April 24, 2012 By Leave a Comment
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
April 18, 2012 By 1 Comment
You next patient has swallowed over 80 grams of lithium. What are you going to do about it?
Brain Dead?
January 13, 2012 By 2 Comments
A baffling case of apparent brain death… Can you work out what has happened?
A Fumbling, Mumbling Mess!
December 7, 2011 By 2 Comments
A puzzling case of drug-induced delirium. Can you solve the mystery?
Massive Propranolol Overdose
November 27, 2011 By 7 Comments
A 27-year old female presents to ED one hour after swallowing 70 x 40mg propranolol tablets (= 2.8 grams) with suicidal intent. At the time of assessment she is drowsy (GCS 13) with a heart rate of 46 bpm. Fifteen minutes earlier she had been awake and able to give a history to paramedics… You need to act fast to save this patient. Are you up to the challenge?
Therapeutic Showering
August 17, 2011 By 7 Comments
A review of the literature on the assessment and management of the patient suffering from cannabinoid hyperemesis syndrome.
Mistaken Identity
January 18, 2011 By 2 Comments
A 22 year old presents to the ED following the alleged ingestion of fenofibrate tablets 2 hours prior to presentation.
A Remorseless Poison
January 18, 2011 By 4 Comments
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
January 13, 2011 By 2 Comments
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?
