Emergency and Toxicology – Set 6

What this deck covers

Emergency and Toxicology – Set 6 in 50 board-style clinical cases with worked explanations. Each case gives you a clinical vignette, four options, the correct answer, and an explanation of why each of the other three is wrong, with the guideline or textbook it follows named on the answer.

Board-style teaching questions for paediatricians and trainees preparing for paediatric board, MRCPCH and licensing examinations. Written from published guidelines and standard paediatric textbooks, with the source named on every answer.

The 50 cases, in order

1. Open strip in grandma’s handbag
2. Farm shed bottle
3. Mouthful from a garden torch
4. Why the burn goes deep
5. Pica, pallor and few words
6. Deep breathing after radiator coolant
7. Grandfather’s heart tablets
8. Unwell in a freshly sprayed orchard
9. Fuel in a juice bottle
10. Grandmother’s pill organiser
11. Soil and old paint eater
12. Frothy secretions on a veranda
13. Drooling with stridor
14. What the night nurse should watch
15. Should the stomach be emptied?
16. When to stop giving more
17. Drowsy toddler with a sugar of 15.8
18. Stopping the toxic metabolites
19. Sodium 171 and high pressure
20. Receptor behind each sign
21. New cough at three hours
22. Trying the opioid antagonist
23. Why not empty the stomach
24. Soaked in sheep dip
25. Look in the mouth
26. Heart block after grandma’s bottle
27. Petrol and fast breathing
28. Oxime timing and carbamates
29. Measured minus calculated
30. Two heart drugs in one travel bag
31. Advice on the phone
32. Day 2 weakness
33. Gas after barbecue lighter fluid
34. What to do about a level of 58
35. Mottled and slow after uncle’s pills
36. Garlic breath and tingling feet
37. Fever and a high white count
38. Mouthful of bar soap
39. Normal on ward feeds
40. No antidote in stock
41. Two open containers, racing pulse
42. Faint voice three days later
43. Air-filled spaces on day 9
44. Battery still inside on day 3
45. Keeping it down for good
46. Still shocked after calcium
47. Stopping a repeat
48. Crystals and a rising creatinine
49. Sniffing and sudden collapse
50. Three months of adult-strength drops

Diagnoses and management options tested

Across the fifty cases you are asked to choose between options such as: Admission for prolonged cardiac monitoring, Coagulative necrosis forms a deep eschar, Pinpoint pupils and breathing pauses, Atenolol, A drink of milk to dilute the alkali, Pupils that are no longer small, Primary hyperaldosteronism, Full and lasting reversal of coma and apnoea, A blue-black line at the gum margin, Carbamates do not inhibit cholinesterase at all, Give vinegar or lemon juice to neutralise it, Oral succimer chelation, Oxygen with respiratory support as needed, IV glucose 10%.

Clinical pearls from this deck

• One tablet can harm a toddler: admit, monitor, wait.
• Wet child, small pupils, garlic smell: organophosphate.
• Thin, slippery fuels go to the lungs, not the liver.
• Alkali dissolves; acid scabs.
• A child who eats paint has lead poisoning until proved otherwise.
• Calculate the anion gap in every acidotic poisoned child.

Work through the deck once for recognition, then again a week later to test yourself — each question gives the answer and explains why every other option fails.

More from this system: all emergency and toxicology case decks · pediatric reference values.