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3 corrosive poisoning

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  • 1. INTERNAL MEDICINE
  • 2. CORROSIVE POISONING
    Def:
    Corrosive poisoning results from ingestion, topical exposure or inhalation of chemical compounds that causes tissue injury as result of chemical reaction.
  • 3. CORROSIVE POISONING
    Clinical feature:
    Intense burning pain in mouth, throat, esophagus extending down to the stomach.
    Frothy eructations, retching and vomiting. The vomit is brown or black and contain blood.
    Intense thirst and vomiting leads to dehydration.
    Horseness voice and husky owing to inflammation of epiglottis and larynx.
    Speech is painful and difficult.
    Breathing becomes difficult.
    Tongue is swollen, sodden and black is covered with a white coating resembling soaked parchment.
  • 4. CORROSIVE POISONING
    Clinical feature:
    Teeth are chalky white colour.
    Lips are swollen and excoriated, brown or black streaks resulting from action of acid.
    Constipation.
    Urine is scanty or suppressed.
    Cold clammy skin
    Low blood pressure
    Pulse is fast and feeble
    Anxious
    Shock
    Death due to cardio-respiratory failure
  • 5. CORROSIVE POISONING
    Investigation:
    CBC
    ECHO
    LFT
    RFT
    Serum electrolytes
    Blood gas analysis
    Blood for C/S
  • 6. CORROSIVE POISONING
    Management:
    Avoid gastric lavage
    Should be immediately diluted and neutralized by giving one-fourth liter of water is seen within 30 minutes of ingestion
    Give a demulcent- olive oil, milk, egg whites melted butter etc
    Prednisolone 60 mg/day
    Correct the circulatory shock
  • 7. CORROSIVE POISONING
    Management:
    Tracheostomy, if there is oedema of glottis
    Give nothing by mouth
    Skin burns are washed with large amounts of water
    Eye burns are irrigated with plain water for 15 minutes
    symptomatic

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