Differents aspects of investigation in case of poisoning..

1. INVESTIGATION ON POISOING
-Bed side
-Laboratory
DDiippeesshh yyaaddaavv
RRoollll NNoo::114400
99tthh sseemmeesstteerr

2. BEDSIDE INVESTIGATIONS
Urine tests:
Fig:phenol-smoky
dark
green
Fig:Ferric cholride test:(5-10 drops of ferric
cholride solution to 10 ml of boiled and
acidified urine)
Result:
s.3 red-salicylate

3. Oxalate crystals in Urine sample:Ethylene Glycol Poisoing

4. Blood Tests
methemoglobinemia
chocolate colour, turns
pinks in addition of KCN.
Gastric Aspirate
30% H2O2+0.5
deferoxamine+1ml gastric
fluid-colour change in Iron
poisoing

5. Laboratory Evaluation
Blood tests

6. Causes of decreased anion Gap: Lithium, Bromide

7. Chest x-ray
pulmonary edema-carbon
monoxide,
Cyanide, Irritant
Gas

8. Abdominal X-ray
• Radiopaque shadow
• calcium,Heavy metal

9. ECG
Hyperkalemia, membrane active
agents
Beta-blockers,digoxin,ca+
blocker

10. Tip of day:
To study medicine without book is to sail an
unchartered sea, while to study medicine only
from books is not to go sea at all
- Sir william osler