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Chapter-19 Poisoning

BOOK TITLE: Partha’s 101 Clinical Pearls in Pediatrics

Author
1. Ramachandran P
ISBN
9789386322746
DOI
10.5005/jp/books/14123_20
Edition
1/e
Publishing Year
2018
Pages
24
Author Affiliations
1. Madras Medical College and Institute of Child Health, Chennai, Sri Ramachandra University, Chennai, Tamil Nadu, India, Sri Ramachandra Medical College, Chennai, Tamil Nadu, India, Sri Ramachandra Medical College, Porur, Chennai, Tamil Nadu, India, Sri Ramachandra Medical College and Research Institute, Chennai, Tamil Nadu, India, Sri Ramachandra Medical College and Research Institute, Chennai, Tamil Nadu, Sri Ramachandra Medical College and Research Institute, Porur, Chennai, Tamil Nadu, India, Sri Ramachandra Medical College and Research, Institute, Chennai, Tamil Nadu, India, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India, Sri Ramachandra Institute of Higher, Education and Research, Chennai, Tamil Nadu
Chapter keywords
Poisoning, scorpion sting, snake envenomation, hydrocarbon poisoning, paracetamol poisoning, mesobuthus tumulus, palmoneus gravimanus, snakebite

Abstract

This chapter talks about poisoning. This chapter is divided into four sections that cover the scorpion sting, snake envenomation, hydrocarbon poisoning, and paracetamol (acetaminophen) poisoning along with their clinical presentation, advanced and revised diagnostic work-up, and management guidelines. Mesobuthus tumulus (Indian red scorpion) and Palmoneus gravimanus (black scorpion) are two of the most common scorpion species of India. Scorpion venom is a powerful stimulant of autonomic nervous system with early parasympathetic stimulation followed by the predominant sympathetic stimulation. Mesobuthus tumulus causes severe cardiovascular manifestations due to autonomic storm. Snake bite is an important rural emergency. Snakebite significantly contributes to mortality and morbidity in the pediatric age group, which is a preventable tragedy.

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