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INTERNAL MEDICINE
DUTURA POISONING Medicolegal use: To stupefy travelers in railway station, bus terminal, in train or bus.
DUTURA POISONING Clinical feature: Dizziness Delirium Drowsiness Dilated pupil Dimness of vision Dryness of mouth Dysarthria Dysphagia
DUTURA POISONING Clinical feature: Dry skin, hyperpyrexia Nausea, vomiting Distended bladder, retention of urine Staggering gait, pill rolling movement Stupor, convulsion, coma
DUTURA POISONING Investigation: CBC RFT Serum electrolytes
DUTURA POISONING Management: Immediate  hospitalisation Clearance of airway Stomach wash with weak sol of KMnO4 Inj diazepam 10 mg i/m stat Injphysostigmine or pilocarpine 1-4 mg in adult
DUTURA POISONING Management: Supportive and symptomatic treatment- Cold sponging for hyperpyrexia Maintenance of nutrition by nasogastric feeding Fluid and electrolytes balance
4 dutura poisoning
4 dutura poisoning
4 dutura poisoning

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4 dutura poisoning