Ethylene glycol poisoning
Antifreeze ingestion
History / PE
:
Flank pain, hematuria, oliguria (ARF)
Diagnosis
:
Anion gap acidosis
Elevated creatinine
Calcium oxalate crystal deposition in kidneys
Treatment
:
1)
Fomepizole
or ethanol (
ADH
inhibition)
2) Sodium bicarbonate (correct acidosis)
3) Hemolysis (if end organ damage)
See Also
:
Methanol intoxication
(hyperemia)
August 6th 2010
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Internal Medicine
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