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Embed code for: Drug poisoning in adult
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Drug poisoning in adult
Overview of approach
Diagnosis of poison
Summery and recommendations
A 28-year old male
Presented to ER with vomiting, diarrhea, cramps and increased salivation. Following the initial cholinergic symptoms, the patient developed severe shock, despite appropriate antibiotics, shock was persistent. Over the next 24-hours, he developed abdominal distension, loose stools and high nasogastric aspirates.
Computed tomography showed pneumoperitonium.
Exploratory laparotomy revealed six perforations in the jejunum and ileum. Surgical resection done
Postoperatively, shock resolved over 72-hours.
However, over the next few days, patient developed features of anastomotic leak. Since only a small portion of the small bowel was preserved, a conservative approach was adopted. He deteriorated further and finally succumbed to the illness.
Accidental and intentional poisonings or drug overdoses constitute a significant source of aggregate morbidity, mortality, and health care expenditure worldwide.
Millions of poisonings and drug overdoses occur annually in the United States alone