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You are discussing with your junoir the below medication Q1.What are the indications and contraindications? Q2.What are the expected adverse events?

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You are discussing with your junoir the following antidote : Q1.What are the common indications? Q2.What are the recommended doses?

A 23 years old women presented to ED 1 hour after ingesting unknown amount with the below medication in a sucidal attempt. She is complaning of inability to pass urine .Clinically she is concious and alert Vitals within normal. Q1.How do you explain her symptom and how to predict her toxicity? Q

A 78-year-old lady with long-standing hypertension on amlodipine was brought into hospital after seemingly 'passing-out' at home earlier in the day. This happened suddenly and without warning. She endorsed palpitations a few minutes prior to fainting. These palpitations have apparently been troublin

流行的 SEO 软件公司 SEOmoz 的首席执行官 Rand Fishkin 最近宣布了一个与网络垃圾邮件研究相关的新项目。该项目的目标是更好地理解和贬低从可能被视为网络垃圾的页面传递的“链接资产”的数量。本周早些时候，Fishkin 在他的 Google+ 页面上解释了该项目：求职者电话清单 “我们正在 SEOmoz 开展垃圾邮件研究项目，最终目标是分类、求职者电话清单 识别和删除/限制从网站/页面传递的链接汁液，我们非常确定 Google会调用网络垃圾邮件。 显示内链接/外链接的垃圾邮件。”今天，求职者电话清单 与经过审查的自由职业者一起发展您的业务 Fiverr Business

The nurse comes to inform your junoir that she made a mistake and gave a 5 years old child who is 15 Kg the whole 1 gram IV paracetamol instead of 250 mg as prescribed. Your junoir thinks it is still within non toxic dose as it is less than 150mg/kg . He also want to send a 4 hour paracetamol

A 20 years old lady presented to ED 26 hours after ingesting 30 tablets of paracetamol after a fight with her family. On presentation she was complaining of mild epigastric pain and vomited twice . Clinically , she is conscious and alert , Vitals signs : pr; 90 , bp: 120/80 , RR: 20 , spo2: 99% in

A 50 years old lady presented to ED with severe right arm pain that radiate to her shoulder .She think that she may be had a bite with a spider in her garden as she found the spider beside her later. Her vitals signs : pr: 110 , BP: 150/90 , RR: 20 , spo2: 99% in r.a , afebrile, blood sugar 7 mmo

A mother brings her two years old child to ED after 2 hours from ingesting unknown amount of his old medicine.Child is very active and jumping all over the ED.Vital signs and examination unremarkable. Q1.What are the expected toxicity ? Q2.What is your management plan?

A 32 years old man , brought in to ED unresponsive by his friends On examination: He is unresponsive , hypo-ventilating , RR: 4 , SPO2:70% in r.a and with pinpoint pupils bilateral, PR: 100 . BP: 100/50, blood sugar 4 mmol/l He was given naloxone 0.4 mg IV X 5 doses , where he walk up and

A 30 years old man presented to ED after a scorpion sting to his rt leg while sleeping.He presented 30 mintues after the sting with severe local pain with no other symptoms .On examination,he is concious and alert ,complaining of local pain, His vitals are normal.Systematic examination is unremarkab

45 Years old man Known to have depression not on medication and known DM on insulin Brought to Ed by family with h/o altered mental status • Clinical exam : Vitals P: 101 ,BP: 104/ 61 ,R18,SpO2: 80% -84% in 100% oxygen, T:37 C ,RBS: 3.3 treated with D50% , rest of exam :unremarkable apart from GC

A frail 95-year-old patient was brought into the emergency department with poor oral intake and increasing lethargy for 5-days. She is legally blind, bed-bound for multiple years. She developed fever and cough at home and had tested positive for SARS-CoV-2 virus at the time of symptoms onset 5-days

She is complaining of vomiting and dizziness. On Exmination ;vitals signs HR 120 , BP 150/60, afebrile, RR 20,Spo2 100% in R.A Blood sugars is 6 mmol/l . Systematic exam unremarkable apart from her being drowsy with GCS 14/15 and she is noted to have tremor. Q1.What are the expected toxicity? Q2

Your discussing with your junior this antidote Q1What are the toxicology indications for this antidote? Q2What is the dose and side effects?

A- 3 years old child brought to ED after unknown amount ingestion of the below medication .She is drowsy, RR 10 , Spo2 90% in room air, HR 100 ,BP:90/50 , afebrile, blood sugar 6 mmol/l .pupils pinpoint .Rest of exam unremarkable. Q1What are the expected toxicity? Q2What is the management of th

You are teaching your junoir about the following antidote: He asked you the following questions Q1 What is the indications,dosage and route? Q2.What are the common side effects ?

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A 2 years old child brought to ED 30 mintues with history of ingesting unknown amount of his grandmother eye drop Child is asymptomatic with normal vitals Q1.What is the expected toxicity? Q2.How you will manage?

This ECG belongs to a 56-year-old patient who was admitted by your colleague the previous night with hypercapnic respiratory failure. She was in cardiogenic shock with pulmonary edema. After intubation and mechanical ventilation, she was started on parenteral furosemide infusion and intravenous

You recieve a handover from your junoir of a lady with history of sucidal attempt by overdose of multiple medications including antidepressant and .She presented to ED 4 hours after ingestion. She was drowsy but normal with vitals . She had NGT inserted and activated charcoal (AC) given. You we

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A 2- years old child brought to ED after 20 mintues from ingesting the below plant, Child is asymptomatic and normal vitals Q1.What is the name of the plant and any expected toxicity? Q2.How you will manage this child?

Your are the senior in the shift and your junior comes to you with this ECG as he is not feeling comfortable about it , patient otherwise vitally stable. Q1: Are you worried and what is your findings? Q2: What are the common list of drugs that cause this ,and what is the mechanism?

This was a 75-year-old male with a prior anterior wall MI in 2012, then acute LAD stent thrombosis in 2019. He presented this with severe ischemic chest pain. What is the next step?

A 15 months old child brought to ED by parents with h/o of ingestion rat poisoning ( small pink tablets )that the father put in the kitchen floor . The ingestion happened 30 minutes back. O arrival, Child is asymptomatic and examination is unremarkable . Below is the rat poison Q1 How you w

A mother of a 3 years old child comes to ED panicking that her child ingeste unknown amount of the below material 30 mintues back.She heard it is a rat poison and could be fatal. Child is asymptomatic and active. Your junoir want to do gastric lavage and admit the child for observation. Q1Do

(Courtesy and special thanks to Dr Waleed Al Sukait) A 27 yr old man with no previous medical illness, presented to ED with severe abdominal pain and diarrhea which is started as watery then bloody. History of constipation for the past 3 days for which he went to local herbal store and was give

You are updating your antidote list and came across this medication Q1.What are the indications for this medication? Q2.What is the usual dose and associated side effects?