Toilet bowl cleaners in the United States tend to be acidic in nature so I chose the 'Ty-D-Bol Man' as our victim for this Caustic Ingestion flashcard. The Ty-D-Bol Man was a little guy in a motor boat that would drive around in your toilet and keep it clean. As a kid I always hoped to see him when I lifted my toilet lid, but never did. As it turns out, Tidy Bowl man was … [Read more...] about Caustic Ingestion Acid
aka Toxicology Conundrum 035 You are called for advice about a 5 year-old boy (weight: 20kg) was helping his Dad do some minor repairs and maintenance on the family car. The boy drank from what he thought was a cordial container, inadvertently ingesting up to 50 mL of a radiator coolant containing 95% ethylene glycol. The boy is taken to the local health center, which is 3 … [Read more...] about Ethylene glycol inebriation
aka Toxicology Conundrum 034 A 3½ year-old boy ingested 50 mg/kg of elemental iron 2 hours ago. He vomited once. His parents brought him to the emergency department for assessment. An abdominal x-ray has been performed confirming the ingestion. He now looks well and has age-appropriate vital signs. The treating doctor, stationed at a remote hospital, has called you for … [Read more...] about The toddler with the Iron gut
aka Toxicology Conundrum 033 A 2 year-old (who weighs 15kg) is hauled into the emergency department by his worried mother. She thinks he swallowed 2 x 155mg chloroquine tablets. They were visiting the child's aunt, who recently returned from her travels in Mexico and Central America. The aunt is yet to complete her course of malaria prophylaxis. No ingestion was witnessed and … [Read more...] about Chloroquine poisoning?
aka Toxicology Conundrum 023 A 22 year old female is BIBA in status epilepticus. She is believed to have overdosed on her discharge medications following a month long stay as an inpatient on the psychiatric ward. Her clinical notes list the following past medical history: Borderline personality disorder Depression Chronic back pain Fibromyalgia IVDU … [Read more...] about Toxic Seizures