đŖ[4 āĻŽāĻŋāύāĻŋāĻ āĻā§āϞāĻŋāύāĻŋāĻā§āϝāĻžāϞ] đ¤(Harpic/Dettol Poisoning)đ¯đ¤¨
āϧāϰā§āύ, āύāĻžāĻāĻ āĻĄāĻŋāĻāĻāĻŋ āĻāϰāĻā§āύ āĻā§āύ āĻāĻ āĻšāϏāĻĒāĻŋāĻāĻžāϞā§đĒ āĻŦāϏā§āĨ¤ āϰāĻžāϤ āĻŦā§āĻā§ āĻĻā§āĻā§ āĻāϰ āĻāĻĒāύāĻŋ āĻā§āĻŽāĻžāύā§āϰ đ¤ āĻĒā§āϰāϏā§āϤā§āϤāĻŋ āύāĻŋāĻā§āĻā§āύāĨ¤ āĻā§āĻŽā§āϤ⧠āϝāĻžāĻŦā§āύ đ āĻāϰ āĻ āĻŽāύāĻŋ āĻāĻŽāĻžāϰā§āĻā§āύā§āϏ⧠āĻĻāĻŋā§ā§ 7/8 āĻāύ āϞā§āĻ āĻšā§ā§āĻŽā§ā§ āĻāϰ⧠āĻĸā§āĻāϞ 17 āĻŦāĻāϰ āĻŦā§āϏ⧠āĻāĻ āĻŽā§ā§ā§āĻā§ đ đģââī¸ āύāĻŋā§ā§āĨ¤ āĻāĻžāϰ āϏāĻžāĻĨā§ āϝā§āύ āĻ āĻāĻŋāĻŽāĻžāύ āĻāϰ⧠āĻā§āϞā§āĻā§ āĻĸā§āĻā§ āĻŽāύā§āϰ āĻā§āĻļāĻŋāϤ⧠āĻāĻ āĻĒā§āĻ āĻšāĻžāϰāĻĒāĻŋāĻ āĻā§ā§ā§ āύāĻŋā§ā§āĻā§ đ āϤāĻŦā§ āĻ āĻŦāϏā§āĻĨāĻž āĻŦā§āĻļ āĻŦā§āĻāϤāĻŋāĻāĨ¤ āĻāĻĒāύāĻŋ āĻāĻŋ āĻāϰāĻŦā§āύ? đ¤
āϤāĻŦā§ āĻāϞā§āύ, āĻāĻāĻā§ āĻāĻŽāϰāĻž āĻāĻžāύāĻŦ āĻšāĻžāϰāĻĒāĻŋāĻ/āĻĄā§āĻāϞ āĻŦāĻž āϝ⧠āĻā§āύ Corrosive Poisoning āĻāĻŋāĻāĻžāĻŦā§ Diagnose āĻāĻŦāĻ Manage āĻāϰāĻŦā§ đ āϤā§, āĻļā§āϰ⧠āĻāϰāĻž āϝāĻžāĻ,
đŋđ¤ Corrosive Poisoning āĻāĻŋ āĻāĻŋ Substance āĻĻā§āĻŦāĻžāϰāĻž āĻšāϤ⧠āĻĒāĻžāϰā§?
â
Corrosive Substance āĻšāĻā§āĻā§ āĻ āϏāĻŦ āĻĒāĻĻāĻžāϰā§āĻĨ āϝā§āĻā§āϞ⧠āĻāĻŽāĻžāĻĻā§āϰ āĻļāϰā§āϰā§āϰ āϏāĻāϏā§āĻĒāϰā§āĻļā§ āĻāϏāϞ⧠Tissue Burn đĨ āĻāϰ⧠Severe Injury āĻāϰāϤ⧠āĻĒāĻžāϰā§, āϏā§āĻĒā§āĻļāĻžāϞ⧠āĻāĻŽāĻžāĻĻā§āϰ GIT āĻāĻŦāĻ Respiratory Tract āĻāĨ¤ āϏāĻŦāĻā§ā§ā§ Common Corrosive Poisoning āĻāϰ āĻāĻžāϰāĻŖāĻā§āϞ⧠āĻšāĻā§āĻā§,
đ Savlon/Dettol/Harpic đ¯
đ Bleaching Powder đ
ŋī¸
đ Acid â ī¸
đ Alkali â¨ī¸
đŋđĨē āĻāĻŋ āĻāĻŋ āĻā§āϞāĻŋāύāĻŋāĻā§āϝāĻžāϞ āĻĢāĻŋāĻāĻžāϰā§āϏ āĻĒāĻžāĻā§āĻž āϝāĻžāĻŦā§?
â
āĻĒā§āĻļā§āύā§āĻ āϝāĻĻāĻŋ āĻāĻĨāĻž āĻŦāϞāϤ⧠āĻĒāĻžāϰ⧠āϤāĻžāĻšāϞ⧠āĻŽā§āĻā§ āĻāĻŦāĻ āĻāϞāĻžā§ Burning sensation āĻāĻŦāĻ Pain đ āĻāϰ āĻāĻĨāĻž āĻŦāϞāĻŦā§āĨ¤ āĻāĻāĻ āϏāĻžāĻĨā§ Nausea, Vomiting 𤎠āĻĨāĻžāĻāϤ⧠āĻĒāĻžāϰā§āĨ¤ āϤāĻŦā§ āϏāĻŦāĻā§ā§ā§ āĻāĻžāϰāĻžāĻĒ āĻāύā§āĻĄāĻŋāĻļāύ āĻšāϤ⧠āĻĒāĻžāϰ⧠Chemical Pneumonitis. āĻāĻā§āώā§āϤā§āϰ⧠āĻĒā§āĻļā§āύā§āĻā§āϰ Vigorous Cough āĻĨāĻžāĻāĻŦā§āĨ¤ đĒ
đŋđ āĻāĻā§āĻāĻž , āĻāĻŋāĻāĻžāĻŦā§ āĻŽā§āϝāĻžāύā§āĻ āĻāϰāĻŦā§?
đ¨đģââī¸đ Treatment:
â
āĻā§āύ āĻāĻžāĻŦā§āĻ Gastric Lavage āĻĻā§ā§āĻž āϝāĻžāĻŦā§ āύāĻž â
â
IV fluid for hydration and Electrolyte balanceđ
â
āĻĒā§āĻļā§āύā§āĻ āϝāĻĻāĻŋ āĻŽā§āĻā§ āĻā§āϤ⧠āύāĻž āĻĒāĻžāϰ⧠āϤāĻžāĻšāϞ⧠Parenteral Nutrition āĻĻāĻŋāϤ⧠āĻšāĻŦā§ đĨĄ
â
IV Antibiotic đ
â
Strong Analgesic (Eg: Morphine/pethidine/tramadol)đ
đŋđ¤ āϧāϰā§āύ, āĻāϏāĻŦ āĻā§āϰāĻŋāĻāĻŽā§āύā§āĻ āĻāĻŋāĻā§āĻ āĻāϰāϞāĻžāĻŽ āύāĻž, āĻāϤ⧠āĻā§āύ Complication āĻšāϤ⧠āĻĒāĻžāϰā§?
â
āĻšā§āĻŽ,
đ° Perforation of Esophagus/Stomach đ¤¯
đ° Aspiration Pneumonia đģ
đ° Esophageal Stricture đž
Thatâs all for today đ See you in next medicine episode of another disease!

Good day.đ
Dr Abdullah Al Jubair