Toxcities

Question 1

Kernicterus infants Dx?

Answer 1

Sulfonamides

Question 2

Gray Baby Syndrome: vomiting, ashen color and cardiovascular collapse. Dx?

Answer 2

Chloramphenicol

Question 3

May cause cartilage defects in children. Dx?

Answer 3

Quinolones (Cipro, Levo, Moxi)

Question 4

Gray enamel of permanent teeth, affects bone growth. Dx?

Answer 4

Tetracycline.

Question 5

Reyes Syndrome - Hepatic Injury, Hypoglycemia, vomiting. Respiratory alkolosis leading to respiratory acidosis. Dx?

Answer 5

Salicylate

Question 6

Generalized malaise, nausea, vomiting. Latent period - jaundice and bleeding. Metabolic acidosis. Dx?

Answer 6

Acetominophen. N-acetylcysteine.

Question 7

Anticholinergic response. Wide QRS and flat T waves. Dx?

Answer 7

TCA. Intubation if needed and Sodium Bicarbonate

Question 8

Cholinergic. Dx? Rx?

Answer 8

Organophosphates

Question 9

Heavy metals (arsenic, mecury, lead, chromium, copper, gold, nickel, zinc) Rx?

Answer 9

Dimercaperol , Succimer, EDTA

Question 10

Abdominal pain. Dx? Rx?

Answer 10

Iron. Deferoxime.

Question 11

Intoxication, blindness. Dx? Rx?

Answer 11

Ethanol, fomepizol

Question 12

Sedation. Dx? Rx?

Answer 12

Benzo. Flumanazil.

Question 13

Respiratory depression, pin point pupils. Dx? Rx?

Answer 13

Opiates. Naloxone

Question 14

Kid presents with hematamesis and X-ray shows radiopaque substance in stomach. Dx?

Answer 14

Iron poisoning

Question 15

After a patient injest someothing cuaustic what is the next 2 steps?

Answer 15

1. Establish patent airway 2. Upper GI endoscopy