Identifying the cause of intoxication case without a clear history using flowcharts

Wardhana, Ardyan Prima (2023) Identifying the cause of intoxication case without a clear history using flowcharts. Surabaya Medical Journal, 1 (1). pp. 35-39. ISSN 2986-2469; e-ISSN:2986-7584

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Abstract

Background:Suspicion of intoxication and its causative agents are required in the clinical practice of intensive care units. Patients with loss of consciousness and no history of leading causation present obstacles in emergency room management. An understanding of toxidromes and epidemiological evidence can help clinicians. However, classic toxidromes are not always presented. Objectives:This case was presented to determine the flow of approaches to identify the cause of intoxication and to design early strategies for supportive care in intoxication case management.Case:A woman with loss of consciousness accompanied by seizures, deep and rapid breathing, and hypotension. Since the search for collateral information did not produce any meaningful findings, the toxin diagnosis was given based on vital signs, pupil size, and mental status. Methanol intoxication was suspected based on hypothermia, decreased consciousness, normal pupil size, and Kussmaul breathing. Forensic analysis showed her serum was positive for ethanol and methanol.Conclusion:When facing a case without the classic presentation of the toxidrome, the toxin diagnosis can be directed based on vital signs, pupil size, mental status, and muscle tone. Introduction to epidemiology is also important in tracking intoxication causation.

Item Type:	Article
Uncontrolled Keywords:	medical care; intoxication; toxidrome; vital sign
Subjects:	R Medicine > R Medicine (General)
Divisions:	Faculty of Medical
Depositing User:	ARDYAN PRIMA WARDHANA
Date Deposited:	18 Jul 2023 04:03
Last Modified:	06 Feb 2024 08:24
URI:	http://repository.ubaya.ac.id/id/eprint/44505

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