Sunday, October 13, 2013

When you consider toxicity,




A case about a kid that recently moved into a new home, and she started to develop confusion , nausea vomiting , and a bunch of nonspecific signs at least for me , note that  the question stem didn’t mention any thing about cyanosis , in fact O2 saturation was normal !
I was suspicious about Toxicity, and I was right about that, what I got wrong that my first investigation was a Tox screen , because according to the question answer that ABG with specific request to measure carboxy-hemoglobin and met-hemoglobin levels,
CO poisoning wouldn’t be associated with a drop in O2 saturation!

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