Medical toxo (oral hypoglycemics and iron),yet Flashcards

1
Q

causes GIT perforation

A

iron
inoraganic corrosives

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2
Q

stage 1 of iron

A

1- 6 hrs. post ingestion (local corrosive effect on GIT).
- Abdominal pain.
- Nausea, vomiting, hematemesis and melena.
- Shock and dehydration from fluid loss.

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3
Q

stage 2 of iron

A
  • 24 hrs. post ingestion (latent or quiescent stage)
  • Apparent recovery of the patient
  • It is due to redistribution of free iron from blood to (RES).
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4
Q

stage 3 of iron

A

24-48 hrs. post ingestion (mortality is highly recorded during thisstage).
- Metabolic acidosis.
- Fever and leukocytosis.
- Lethargy and coma.

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5
Q

stage 4 of iron

A

2- 3 days post ingestion (Hepatic manifestations).
- - Elevated liver enzymes and bilirubin levels.
- Defective coagulation.
- Hypoglycemia may occur.

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6
Q

stage 5 of iron

A

Gastro-intestinal scarring with or without obstruction (pylorostenosis, gastric fibrosis or small bowel strictures).

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7
Q

causes pylorostenosis

A

iron stage 5

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8
Q

which stage of iron causes fever

A

stage 3

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9
Q

causes lethargy in iron

A

stage 3

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10
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A
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11
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11
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11
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12
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