Differential diagnosis in toxooooo

Hello doctors
what are the most important differential diagnosis we should know in Toxo cuz this question is common in the toxo case
Thanx in advance

أكثر الأسئلة المكررة في الامتحانات في المواضيع الآتية : :

*****************************************

- Corrosives

- A.C

- Digitalis

- Botulism

- Scorpion

- Methanol

- Paracetamol



????? ?? ??????? :

*************

- Theophylline

- CO

- Iron

- Lead

- Kerosine

- Salycilate

- Drug dependence

- CPR

- Naloxon



*Causes of NCPE:

***************

- Salicylates

- Corrosive fumes

- Barbiturates

- OPCs

- Opiates



*A.C is not effective in toxicity of :

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- Iron

- Lead

- Cyanide

- Lithium

- Alcohols

- Corrosives



*Druds with antidots :

******************

- Digitalis à Digibind

- OPCs à Atropin + Oximes

- Carbamates à Atropin

- Atropin à Physostigmine

- Ethanol à Thiamine

- Ethyl glycol à Ca gluconate , ethanol , thiamine

- Methanol à Ethanol , 4-methyl pyrazol , folinic acid

- Opioid à Naloxone ( Narcan )

- Benzodiazepines à Flumazenil ( Anexate )

- TCA à NaHCo3

- Nitrates & Nitrites à Methylene blue

- B- blockers à Glucagon

- Paracetamol à N-acetylcycteine ( NAC )



*Drugs with Anticholenergic effect = MDAC

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- TCA

- Atipshycotics

- Atropine

- Carbamazebine



* Drugs with enterohepatic circulation = MDAC

**************************************

- Carbamazepine

- Digitalis



*Miosis (pin-point)

****************

- OPCs

- Opiates

- Neuroleptics

* Mydriasis

- Sympathomymetics

- Hallucinogens

- Anticholinergics (atropine)

- Withdrawal from opioid sedative hypnotics & ethanol





* Drugs making concretions = MDAC

*****************************

- Salicylate

- Phenobarbitone

- Carbamazepine

- Meprobamate





* Uses of NaHCo3 :

***************

- TTT of B-Blocker dysrhythmias.

- TTT of digitalis induced hyperkalaemia

- Antidot for TCA " Dr-?amroviç Ramadan"



* Rhabdomyolysis:

***************

- Amphetamine

- Barbiturates

- Alchol

- Neuroleptics

- Salicylates





* Tachycardia:

************

- Atropine

- Amphetamine

- Kerosine

- Salicylates

- Nitate & Nitrites

- CO

- Theophylline

- Neuroleptics

- H2S (intially)

- TCA

- Carbamazepime

- Opioid dependence

- Acute cannabis toxicity

- Viber envenomation

- Scorpion sting





* Bradycardia:

************

- Digitalis

- OPCS

- Opiates

- Phenol. (carbolic acid)

- H2S (Late)

- B-Blocker

- Phenol (carbolic acid)

-Phenytoin (I.V)

- Cyanide

- Ciguatera poisoning





* Gastric bleeding:

**************

- Salicylates

- Corrosives



*Loss of smell (anosmia) : " Dr-?amroviç Ramadan"

********************

- H2S

- Cocaine dependence

DD of optic neuritis and anemia in toxo ?
de b2a be el details as dr yasser said :-
-Aplastic--->carbamazepine
-Megaloblastic--->Phenytoin
-Dyshaemopoietic--->ch.lead
-Hemolytic--->Naphtheline,Carbolic acid,zinc phosphide,ch.lead poisoning,viper venom,castor oil... See More
-Hemorrahgic--->slicylates,warfarin
-Iron Deff.--->corrosives,ch.metals,drug dependance(EXCEPT Cannabis

optic neuritis >>>>> methyl alcohol & lead
anemia >>>>>>>>> lead & mercury& drug dependence& all hemolytic poisons




d.d of renal failure in toxo؟

corrosive
- fe
- barbiturates... See More
- salicylate
- methanol

2- renal ( nephrotoxic effect)

- carbolic acid
- Hg
- lithium
- salicylate
- paracetamol
- lead

3- post renal

- oxalic acid
- all causes of haemolysis
- all causes of rhabdomyolysis




D.D. of jaundice

1- obstructive:

- phenothiazine

2- haemolytic:

- naphthaline
- carbolic acid
- zinc phosphide
- ch. lead pois.
- viper venom

3- hepatocellular:

- paracetamol
- iron
- zinc phosphide
- ch. ethanol
- organic solvent abuse





dd of discoloration of skin
1-sweating
-organophosphorus
-scorpion
-barbiturates
- salicylates
-ethyl alchol

2- dry:-
- atropinism
- TCA

3- flushed :-
- atropinism
- alchol

4:-red
- carbon monoxide
-cyanide

5:- cyanosed :-
- central respiratory depression
- pulmonary edema
anoxia due to paralysis of respiratory ms or convulsion e.g. opiates or any cns stimulant causes convulsions

6:- yellow
- hepatic & hemolytic jaundice

7:- pallor
- lead
-barbiturates
- cocaine
- all opiates & drug dependence
- amphetamines

8- septic injections
- addiction in opiates

9:- allergic eruptions :-
- aspirine
-barbiturates

ana kont 2rythom fe ktab doctor 7nan we 3gbone






*toxins which cause bloody vomitus:

-corrosive
- warfarin
- salicylate
- iron
- theophyline





de tgme3at el antidotes kont mnzlaha mn balaty bs hya 7elwa

Opiates & Opioids ---------------Naloxone

Digoxin ---------------------------Fab Fragments

BZD (Benzodiazepines--------- Flumazenil

CO ------------------------------ 100% Oxygen

Iron ----------------------------- desferoxamine

Lead ----------------------------EDTA -Dimercapol-DMSA

Paracetamol ------------------- N-acetyl cysteine

Methanol ----------------------- ethanol - 4 methyl pyrazole

Mercury ------------------------- Dimercapol - penicillamine -DMSA

OP Insecticides ---------------- Atropine - oximes

Anticoagulants ----------------- Vitamin k

Cyanide ------------------------- amyl nitrate -Na nitrate- Na thiosulfate- cobalt EDTA

Methemoglobinemia------------- mythelene blue





drugs make concretion:

1- salicylate
2- phenobarbitone
3- meprobamate
4- carbamazipine

-Cases Dr. Yasser :-
http://www.mediafire.com/?zcs4irsiyne77zp


-Medical ethics Dr.elsegny sheets :https://www.facebook.com/photo.php?fbid=10150693935045317&set=o.33608217225&type=1&theaterhttps://


www.facebook.com/photo.php?fbid=10150693934775317&set=o.33608217225&type=1&theater&pid=19319105&id=812290316


thx to Salma Arfa


Forensic Tables:


http://www.mediafire.com/?83zgk22doxig9ps

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-Toxicology tables:

http://hotfile.com/dl/122889847/9e3ab0a/Toxicology_Tables-Bala6y.org_NoRestriction.pdf.html

thx to Khlood A.Hassan

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-Toxicology ...the stuff which isn't found in tables

Miscellaneous mnominics ,

drug dependence (general only) + toxic gases + analgesics + corrosives + OPs insecticide


http://www.mediafire.com/?slyddtookgic2bw


thanx to Hamdy Gabal

---------------------------------------------------------------

-Forensic exam 2010 (دور تانى)


https://www.facebook.com/photo.php?fbid=1974859005395&set=o.33608217225&type=1&theater


-Toxicology exam 2010(دور تانى)


https://www.facebook.com/photo.php?fbid=1974860965444&set=o.33608217225&type=1&theater


Thanx to Mohamed Fathy


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dah summary lel wounds
http://www.mediafire.com/?vs6fv7dvulgd7w3
Special thnx to Mariam Selim

http://www.mediafire.com/?slyddtookgic2bw
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thermal traumatic skull fracture
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