A Case of Rodenticide Poisoning

A CASE OF JAUNDICE ,[object Object],[object Object],[object Object]

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CBC 4.10.11 7.10.11 8.10.11 13.10.11 15.10 Hb 15.5 14.2 14.1 14.0 13.8 TC 6400 7200 6100 6500 5800 PCV 46.5 42.6 42 42 41.4 PLT 219000 75000 68000 120000 150000

RFT WITH ELECTROLYTES 4.10 6.10 8.10 18.10 SUGAR 90 110 85 104 UREA 36 25 26 32 CREATININE 0.4 0.8 0.7 0.6 SODIUM 131 133 129 134 POTASSIUM 5.2 6.4 5.2 4.5 CHLORIDE 103 98.6 90 BICORBONATE 18 22 23

LFT 4/10 6/10 8/10 (sp 3) 9/10 12/10 18/10 Total bilirubin 18.2 17.2 11.6 20.1 16.9 11.6 direct 9.9 9.3 8.93 8.9 8.3 5.1 indir 8.3 7.9 2.67 11.2 8.6 SGOT 2240 750 480 138 77 164 SGPT 1556 335 910 99 236 161 SAP 239 720 558 GGT 76 64 Total protein 6.5 4.6 5.2 albumin 3.1 3.0 3.1

4/10 7/10 8/10 9/10 12/10 18/10 PT Test Control >2min 13sec 42sec 12.5sec 37sec 13sec 26sec 12sec 20sec 11sec 13.4sec PTT Test Control 53sec 24.7sec 23sec 48sec 45sec 40sec 30sec INR 3.3 2.8 2.2 1.8 1.3

ABG-COMPENSATED RESPIRATORY ALKALOSIS

URINE Colour Yellow Appearance Cloudy Specific gravity 1.010 PH 7.0 Protein Negative Sugar Nil Ketone Absent Rbc Nil Pus cells 2-5 Epithelial cell 2-3 BS/BP Positive Urobilinogen increased

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GASTROENTEROLOGIST OPINION ,[object Object],[object Object]

TREATMENT GIVEN ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

RODENTICIDE POISONING ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

COUMARINS AND INDANDIONES ,[object Object],[object Object],[object Object],[object Object]

THALLIUM SULFATE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

PHOSPHORUS POISONING ,[object Object],[object Object],[object Object]

YELLOW PHOSPHORUS ,[object Object],[object Object],[object Object],[object Object],[object Object]

THIRD STAGE (ADVANCED) OCCURS AFTER 72 HOURS UNTIL THE RESOLUTION OF SYMPTOMS OR DEATH. ,[object Object],[object Object],[object Object]

THIRD STAGE (ADVANCED) OCCURS AFTER 72 HOURS UNTIL THE RESOLUTION OF SYMPTOMS OR DEATH(CONT….) ,[object Object],[object Object],[object Object]

PATHOLOGY ,[object Object],[object Object],[object Object]

ZINC PHOSPHIDE ,[object Object],[object Object],[object Object],[object Object]

MANAGEMENT ,[object Object],[object Object]

MANAGEMENT ,[object Object],[object Object],[object Object]

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KINGS COLLEGE CRITERIA FOR LIVER TRANSPLANTATION ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

KINGS COLLEGE CRITERIA FOR LIVER TRANSPLANTATION(CONT…) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

HEPATOTOXICITY OF METALS-THE CULPRITS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

HEPATOTOXICITY OF METALS ALUMINUM ,[object Object],[object Object],[object Object],[object Object]

HEPATOTOXICITY OF METALS ARSENIC (1) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

HEPATOTOXICITY OF METALS ARSENIC (2) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

HEPATOTOXICITY OF METALS BARIUM ,[object Object],[object Object]

HEPATOTOXICITY OF METALS COPPER (1) ,[object Object],[object Object],[object Object]

HEPATOTOXICITY OF METALS COPPER (2) ,[object Object],[object Object],[object Object],[object Object]

PURPOSE OF PRESENTATION ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

REFERENCES ,[object Object],[object Object],[object Object],[object Object],[object Object]

A Case of Rodenticide Poisoning

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A Case of Rodenticide Poisoning