Toxicology (main) - Revision history

Rossdonaldson1 at 19:55, 15 April 2026

2026-04-15T19:55:16Z

← Older revision		Revision as of 19:55, 15 April 2026
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	==Clinical Features==		==Clinical Features==
	{{~~Template:~~Toxidrome Chart}}		{{Toxidrome Chart}}

	==Differential Diagnosis for Specific Signs==		==Differential Diagnosis for Specific Signs==

2021-02-20T19:18:31Z

2021-02-19T01:15:19Z

Seizures

← Older revision		Revision as of 01:15, 19 February 2021
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	===[[Seizures]]===		===[[Seizures]]===
	OTIS CAMPBELL		OTIS CAMPBELL
	*[[Organophosphates]], oral hypoglycemics (e.g. [[sulfonylurea]]		*[[Organophosphates]], oral hypoglycemics (e.g. [[sulfonylurea]])
	*[[TCA]], [[theophylline]], [[tramadol]]		*[[TCA]], [[theophylline]], [[tramadol]]
	*[[Isoniazid]], [[Insulin]]		*[[Isoniazid]], [[Insulin]]
	*[[Sympathomimetics]], [[salicylates]], [[strychnine]]		*[[Sympathomimetics]], [[salicylates]], [[strychnine]]
	*[[Camphor toxicity\|Camphor]], [[carbon monoxide]], [[cyanide]], chlorinated [[hydrocarbons]], [[cocaine]]		*[[Camphor toxicity\|Camphor]], [[carbon monoxide]], [[cyanide]], chlorinated [[hydrocarbons]], [[cocaine]]
	*[[Anticholinergics]] (antihistamines), [[amphetamines]], antidepressants (citalopram, TCAs, [[bupropion]])		*[[Anticholinergics]] (antihistamines), [[amphetamines]], antidepressants (citalopram, [[Tricyclic antidepressant toxicity\|TCAs]], [[bupropion]])
	*[[Methanol]], Methylxanthines ([[theophylline]], [[caffeine]]), [[MAOI Toxicity\|MAOI]]		*[[Methanol]], Methylxanthines ([[theophylline]], [[caffeine]]), [[MAOI Toxicity\|MAOI]]
	*[[PCP]], [[propranolol]]		*[[PCP]], [[propranolol]]

2021-02-19T01:12:12Z

Coma

← Older revision		Revision as of 01:12, 19 February 2021
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	LETHARGIC		LETHARGIC
	*[[Lead]], [[lithium]]		*[[Lead]], [[lithium]]
	*[[Ethanol]], ethylene glycol		*[[Ethanol]], [[Ethylene glycol toxicity\|ethylene glycol]]
	*[[TCA]], [[thallium]], [[toluene]]		*[[TCA]], [[thallium]], [[toluene]]
	*[[Heroin]], hemlock, [[hepatic encephalopathy]], [[heavy metals]], [[hydrogen sulfide]], hypoglycemics		*[[Heroin]], hemlock, [[hepatic encephalopathy]], [[heavy metals]], [[hydrogen sulfide]], hypoglycemics
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	*[[GHB]]		*[[GHB]]
	*[[Isoniazid]], [[insulin]]		*[[Isoniazid]], [[insulin]]
	*[[Carbon monoxide]], [[cyanide]], [[clonidine]]		*[[Carbon monoxide]], [[cyanide]], [[clonidine]]

	===[[Seizures]]===		===[[Seizures]]===

2019-09-14T23:34:32Z

Differential Diagnosis for Specific Signs

← Older revision		Revision as of 23:34, 14 September 2019
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	*[[Camphor toxicity\|Camphor]], [[carbon monoxide]], [[cyanide]], chlorinated [[hydrocarbons]], [[cocaine]]		*[[Camphor toxicity\|Camphor]], [[carbon monoxide]], [[cyanide]], chlorinated [[hydrocarbons]], [[cocaine]]
	*[[Anticholinergics]] (antihistamines), [[amphetamines]], antidepressants (citalopram, TCAs, [[bupropion]])		*[[Anticholinergics]] (antihistamines), [[amphetamines]], antidepressants (citalopram, TCAs, [[bupropion]])
	*[[Methanol]], Methylxanthines ([[theophylline]], [[caffeine]]), [[MAOI]]		*[[Methanol]], Methylxanthines ([[theophylline]], [[caffeine]]), [[MAOI Toxicity\|MAOI]]
	*[[PCP]], [[propranolol]]		*[[PCP]], [[propranolol]]
	*[[Benzodiazepine withdrawal]], [[bupropion]], botanicals (hemlock, [[nicotine toxicity\|nicotine]]), [[GHB]]		*[[Benzodiazepine withdrawal]], [[bupropion]], botanicals (hemlock, [[nicotine toxicity\|nicotine]]), [[GHB]]
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	====Dry skin====		====Dry skin====
	*[[Antihistamines]], [[anticholinergics]]		*[[Antihistamines]], [[anticholinergics]]
	====Bullous lesions/blisters		====Bullous lesions/blisters====
	*[[Barbiturates]]		*[[Barbiturates]]
	*[[Mustard agent (vesicants\|Mustard gas]]		*[[Mustard agent (vesicants\|Mustard gas]]

2019-09-14T23:33:32Z

Differential Diagnosis for Specific Signs

2019-08-31T15:55:16Z

Toxicological Exam

← Older revision		Revision as of 15:55, 31 August 2019
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	*[[ECG]] (ie. look for [[QT prolongation]], QRS prolongation, etc)		*[[ECG]] (ie. look for [[QT prolongation]], QRS prolongation, etc)
	*Consider CBC, BMP, urinalysis (with ẞ-HCG if appropriate), urine toxicology screen, serum alcohol concentration, VBG		*Consider CBC, BMP, urinalysis (with ẞ-HCG if appropriate), urine toxicology screen, serum alcohol concentration, VBG
			**The urine screen is a qualitative test -> positivity ≠ acute toxicity
			**It can be falsely positive due to cross-reactivity
			**It can be falsely negative if the substance ingested does not cross-react with the tested analyte
			**The diagnosis of intoxication is clinical!!!

	==Management==		==Management==

2019-08-31T15:48:05Z

Toxicological Exam

← Older revision		Revision as of 15:48, 31 August 2019
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	==Evaluation==		==Evaluation==
	===Toxicological Exam===		===Toxicological Exam===
	*All vital signs (Temp, RR, HR, BP)		*All vital signs (Temp, RR, HR, BP) + bedside glucose
	*[[Neurologic exam]]		*[[Neurologic exam]]
	**Level of consciousness		**Level of consciousness
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	*Bowel Sounds		*Bowel Sounds
	*[[ECG]] (ie. look for [[QT prolongation]], QRS prolongation, etc)		*[[ECG]] (ie. look for [[QT prolongation]], QRS prolongation, etc)
			*Consider CBC, BMP, urinalysis (with ẞ-HCG if appropriate), urine toxicology screen, serum alcohol concentration, VBG

	==Management==		==Management==

2019-08-31T15:40:10Z

=Hypotension

← Older revision		Revision as of 15:40, 31 August 2019
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	*Theophylline, TCA, thyroid hormones		*Theophylline, TCA, thyroid hormones

	===Hypotension==		===Hypotension===
	CRASH		CRASH
	*Clonidine, calcium channel blockers		*Clonidine, calcium channel blockers

2019-08-31T15:38:51Z

Differential Diagnosis for Specific Signs

@@ Line 68: / Line 68: @@
 **[[Tricyclic (TCA) Toxicity]]
 **Lomitil
 *Muscle Failure
 **[[Organophosphates]]
@@ Line 84: / Line 86: @@
 *Ethanol or other alcohols
 *Digoxin, digitalis
 ===Pupil size===