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3 corrosive poisoning

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3 corrosive poisoning

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

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