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Date Completed: 04/04/2023
Page 1 of 9
- Pharmacology & Poisoning
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Paracetamol Toxicity: Management
A 38 year old woman presents to the Emergency Department after having taken an intentional overdose of thirty 500 mg paracetamol tablets abo
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Poisoning and Overdose: Toxidromes
A 23 year old woman is brought to the Emergency Department after starting to act strangely at a music festival. She had been using multiple
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Carbon Monoxide Poisoning: Management
A 32 year old man is brought to the Emergency Department after being found in his enclosed garage with his car running. It appears he had at
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Selective Serotonin Reuptake Inhibitor Toxicity: Clinical Features
A 34 year old woman is brought to the Emergency Department by her husband. He found her at home surrounded by empty fluoxetine packets and a
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Salicylate Toxicity: Management
A 15 year old girl is brought to the Emergency Department by her parents following an intentional overdose. She has taken approximately fift
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Poisoning and Overdose: Toxidromes
A 74 year old man is brought to the Emergency Department after an accidental overdose of his medications. His family are trying to obtain a
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Carbon Monoxide Poisoning: Clinical Features
A 32 year old man is brought to the Emergency Department after being found in his enclosed garage with his car running. It appears he had at
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Poisoning and Overdose: Management
A 35 year old woman presents to ED with symptoms following a staggered overdose taken over the last week. She has been taking extra tablets
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Digoxin Toxicity: Risk Factors
An 87 year old man is brought to the Emergency Department following an accidental overdose of his digoxin tablets. He cannot recall how many
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Paracetamol Toxicity: Management
A 54 year old man presents to the Emergency Department following an accidental overdose of paracetamol, taken for dental pain. What dose is
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Salicylate Toxicity: Management
A 19 year old woman presents to the Emergency Department following a deliberate aspirin overdose 6 hours ago. She has no past medical histor
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Carbon Monoxide Poisoning: Management
A family of 2 adults and 2 children present to the Emergency Department in the middle of the night. They had been on a camping trip and had
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Beta-Blocker Toxicity: Management
A 5 year old boy is brought to the Emergency Department by his worried grandmother. She had been looking after him whilst his mother was at
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Local Anaesthetic Toxicity: Cardiac Arrest
A 32 year old man is being treated in your Emergency Department for multiple lacerations sustained during a fight. A junior colleague has in
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Tricyclic Antidepressant Toxicity: Management
A 64 year old man is brought to the Emergency Department by his husband. He found him at home surrounded by empty amitriptyline packets and
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Poisoning and Overdose: Toxidromes
A 23 year old woman is brought to the Emergency Department after starting to act strangely at a music festival. She had been using multiple
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Organophosphate Poisoning: Management
A 4 year old boy is brought to the Emergency Department after being found unresponsive on his family farm in an outbuilding used to store fe
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Paracetamol Toxicity: Management
A 54 year old man presents to the Emergency Department with a three day history of back pain. When you review him, he admits to finishing a
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Digoxin Toxicity: Management
A 5 year old boy is brought to the Emergency Department by his worried grandmother. She had been looking after him whilst his mother was at
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Salicylate Toxicity: Diagnosis
A 21 year old girl is brought to the Emergency Department following an argument with her boyfriend. He tells you she took handfuls of tablet
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Selective Serotonin Reuptake Inhibitor Toxicity: Clinical Features
A 34 year old woman is brought to the Emergency Department by her husband. He found her at home surrounded by empty fluoxetine packets and a
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Local Anaesthetic Toxicity: Clinical Features
A 45 year old chef presents to the Emergency Department with a laceration to his left hand. You plan to close the wound with sutures and ins
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Paracetamol Toxicity: Referral
A 54 year old man presents to the Emergency Department with a two week history of back pain. When you review him, he admits to taking up to
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Selective Serotonin Reuptake Inhibitor Toxicity: Management
A 34 year old woman is brought to the Emergency Department by her husband. He found her at home surrounded by empty fluoxetine packets and a
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Beta-Blocker Toxicity: Clinical Features
An 87 year old man is brought to the Emergency Department following an accidental overdose of his bisoprolol. He cannot recall how many tabl
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Paracetamol Toxicity: Management
A 19 year old woman presents to ED having intentionally ingested thirty two paracetamol 500 mg tablets 4 hours ago. She has no significant p
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Paracetamol Toxicity: Clinical Features
A 17 year old girl is brought to the Emergency Department by her parents following an intentional overdose. She has taken approximately fift
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Poisoning and Overdose: Antidotes
A 3 year old girl is brought to the Emergency Department by her panicked father. He tells you he was in his garage working on his car. He ha
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Local Anaesthetic Toxicity: Cardiac Arrest
A 32 year old man is being treated in your Emergency Department for multiple lacerations sustained during a fight. A junior colleague has in
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Poisoning and Overdose: Toxidromes
You have been asked to give a teaching session to a group of medical students attached to the Emergency Department. The title of the session
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Opioid Toxicity: Management
A 21 year old known drug user is brought into ED with a GCS of 7 and RR of 6. He did not respond until a total of 800mcg of naloxone was giv
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Local Anaesthetic Toxicity: Management
A 45 year old chef presents to the Emergency Department with a laceration to his left hand. You plan to close the wound with sutures and ins
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Tricyclic Antidepressant Toxicity: Clinical Features
A 59 year old woman presents to the Emergency Department after taking an overdose of her partner's amitriptyline tablets. Which of the follo
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Carbon Monoxide Poisoning: Clinical Features
A 23 year old woman presents to the Emergency Department on the advice of a gas engineer. They have detected high carbon monoxide levels in
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Organophosphate Poisoning: Management
A 6 year old boy is found playing with liquid pesticide in his father's shed. The paramedics found the child sitting in a puddle of liquid.
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Opioid Toxicity: Management
A 22 year old woman is brought into ED by ambulance after being found on the street with reduced consciousness and pinpoint pupils. She was
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Organophosphate Poisoning: Management
A 16 year old boy is brought to the Emergency Department after being found unresponsive in a local field. He has no past medical history and
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Cyanide Poisoning: Management
A 34 year old man is brought to the Emergency Department by paramedics. His friends found him unresponsive at home next to a note detailing
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Local Anaesthetic Toxicity: Risk Reduction
A 32 year old man presents to the Emergency Department with a laceration to his right arm. After assessing the wound you decide closure with
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Methaemoglobinaemia: Management
A 34 year old presents to the Emergency Department complaining of a sore throat. You administer topical benzocaine to allow examination and
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Paracetamol Toxicity: Management
You have been asked to give a teaching session to a group of medical students attached to the Emergency Department. The title of the session
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Paracetamol Toxicity: Management
A 19 year old woman is brought to the Emergency Department by her parents following an intentional overdose. She has taken approximately fif
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Poisoning and Overdose: Toxidromes
A 74 year old man is brought to the Emergency Department after an accidental overdose of his medications. His family are trying to obtain a
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Paracetamol Toxicity: Management
A 42 year old man presents to the Emergency Department after having taken an intentional overdose of paracetamol 5 hours ago. He tells you h
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Carbon Monoxide Poisoning: Diagnosis
A family present to the Emergency Department complaining of headaches and nausea for the past 2 days. They have recently moved into new rent
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Digoxin Toxicity: Management
A 75 year old man is brought to the Emergency Department by his family. He lives alone and has mild cognitive impairment. He has a past medi
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Organophosphate Poisoning: Management
A 37 year old man is brought to the Emergency Department following exposure to an organophosphate on a farm. He is severely symptomatic, and
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Opioid Toxicity: Management
A 34 year old man is brought into the Emergency Department unresponsive. He was found at home surrounded by morphine sulphate bottles. You a
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Paracetamol Toxicity: Management
A 59 year old woman, weighing approximately 60 kg, presents to the Emergency Department after having taken a staggered overdose of paracetam
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Organophosphate Poisoning: Clinical Features
A 34 year old man is brought to the Emergency Department following an attempted suicide by poisoning. He had left a note telling first respo
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Salicylate Toxicity: Clinical Features
A 32 year old man presents to the Emergency Department following a deliberate overdose of aspirin. A venous blood gas sample is collected. W
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Paracetamol Toxicity: Management
Two 25 year old men present to the Emergency Department after both taking thirty 500 mg paracetamol tablets as a suicide pact. The tablets w
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Poisoning and Overdose: Toxidromes
You have been asked to give a teaching session to a group of medical students attached to the Emergency Department. The title of the session
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Paracetamol Toxicity: Management
A 53 year old man, weighing 80 kg, presents to the Emergency Department. He attempted suicide by paracetamol overdose 36 hours ago. He took
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Poisoning and Overdose: Management
A 16 year old boy is brought to the Emergency Department following a mixed overdose within the last hour. You are discussing the benefits of
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Tricyclic Antidepressant Toxicity: Clinical Features
A 45 year old woman is brought to the Emergency Department after taking fifty amitriptyline tablets as part of an attempted suicide. What is
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Paracetamol Toxicity: Management
A 54 year old man presents to the Emergency Department following an accidental overdose of paracetamol, taken for dental pain. His LFTs are
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Methaemoglobinaemia: Management
A 19 year old man presents to the Emergency Department after feeling dizzy and unwell at a party. His friends noticed he had turned a "funny
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Cyanide Poisoning: Management
A 29 year old woman is brought to the Emergency Department by a pre-hospital critical care team. She had been trapped in a burning house for
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Poisoning and Overdose: Toxidromes
A 76 year old man is brought to the Emergency Department after an accidental overdose of his medications. His family are trying to obtain a
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Opioid Toxicity: Management
A 28 year old man is brought to the Emergency Department after being found unresponsive on a park bench. He has signs of intravenous drug us
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Salicylate Toxicity: Clinical Features
A 14 year old girl is brought to the Emergency Department by her parents following an intentional overdose. She has taken approximately fift
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Digoxin Toxicity: Clinical Features
A 91 year old woman is brought to the Emergency Department by her husband. He tells you she has accidentally taken an overdose of her digoxi
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Tricyclic Antidepressant Toxicity: Clinical Features
A 64 year old woman is brought to the Emergency Department by her wife. She found her at home surrounded by empty amitriptyline packets and
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Paracetamol Toxicity: Clinical Features
A 30 year old man presents to the ED with nausea and abdominal pain radiating to his back which started 12 hours ago. The patient admits to
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Poisoning and Overdose: Antidotes
A 71 year old man, with a history of alcohol misuse, presents to ED with abdominal pain, nausea and vomiting, and blurred vision. He is bein
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Benzodiazepine Toxicity: Clinical Features
A 19 year old man is brought to the Emergency Department following an overdose of diazepam. He was seen to ingest twenty 5 mg tablets by his
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Tricyclic Antidepressant Toxicity: Management
A 35 year old woman is brought to the Emergency Department by her partner. She reports taking 50 amitriptyline tablets 3 hours ago. She has
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Paracetamol Toxicity: Management
A 21 year old man presents to the Emergency Department after having taken an intentional overdose of paracetamol 6 hours ago. He tells you h
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Poisoning and Overdose: Toxidromes
You have been asked to give a teaching session to a group of medical students, the title of the topic is "Poisoning in the Emergency Departm
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Paracetamol Toxicity: Investigations
A 20 year old man is brought to the Emergency Department by his family following an overdose. He is drowsy but you can rouse him. He has no
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Opioid Toxicity: Clinical Features
A 32 year old man is brought to the Emergency Department after being found unresponsive in a nearby park. His observations are recorded as:
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Benzodiazepine Toxicity: Management
A 19 year old man is brought to the Emergency Department following an overdose of diazepam. He was seen to ingest twenty 5 mg tablets by his
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Carbon Monoxide Poisoning: Clinical Features
A 19 year old student presents to the Emergency Department on the advice of a gas engineer. The boiler in his flat is faulty and is giving o
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Organophosphate Poisoning: Management
A 21 year old migrant fruit-picker is brought to ED unwell after accidentally ingesting some liquid fertiliser while working on the farm. He
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Cyanide Poisoning: Diagnosis
A 23 year old woman is brought to the Emergency Department by paramedics. She had been in a house fire and was removed from the property by
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Poisoning and Overdose: Toxidromes
You have been asked to give a teaching session to a group of medical students attached to the Emergency Department. The title of the session
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Digoxin Toxicity: Diagnosis
A 67 year old man is brought into the Emergency Department by his concerned wife. She tells you that he has dementia and has mistakenly take
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Tricyclic Antidepressant Toxicity: Diagnosis
A 32 year old man is brought to the Emergency Department by paramedics after being found unresponsive at home by his worried family. They ha
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Paracetamol Toxicity: Clinical Features
A 15 year old girl is brought to the Emergency Department by her parents following an intentional overdose. She has taken approximately fift
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Digoxin Toxicity: Management
A 79 year old confused woman is brought to the Emergency Department by her family. She gives a 30 minute history of blurred vision, nausea a
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Carbon Monoxide Poisoning: Diagnosis
A 47 year old man has been brought into the Emergency Department by ambulance after being found slumped in a car inside a locked garage foll
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Opioid Toxicity: Clinical Features
A 15 year old girl is brought to the Emergency Department by her parents following an intentional overdose. She has taken multiple morphine
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Opioid Toxicity: Clinical Features
A 19 year old man is brought into ED by paramedics after being acting strangely at a dance festival. His observations are: GCS 12/15, BP 115
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Methaemoglobinaemia: Diagnosis
A 27 year old man is brought to the Emergency Department by concerned friends. They had been at a party when they noted he appeared grey. Yo
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Poisoning and Overdose: Toxidromes
A 23 year old woman is brought to the Emergency Department after starting to act strangely at a music festival. She had been using multiple
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Digoxin Toxicity: Risk Factors
An 87 year old man is brought to the Emergency Department following an accidental overdose of his digoxin tablets. He cannot recall how many
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Digoxin Toxicity: Clinical Features
A 73 year old man is brought to the Emergency Department after being found on the floor at home. He is prescribed digoxin for atrial fibrill
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