Monday, December 14, 2020

Hx in alcohol poisionings

 Q: What are the earliest classic symptoms of patients on presentation that may help to differentiate between methanol and ethylene glycol poisoning?

Answer: 

The classic of methanol poisoning includes complaining of any or all of 
  • visual blurring
  • central scotomata, and/or
  • blindness
Patients with Ethylene Glycol patients are likely to complain of 
  • flank pain
  • hematuria, and/or
  • oliguria
​The objective of the above question is to repeatedly highlight the importance of history taking, a rapidly disintigrating art in present day medicine.


#acid-base
#physical-exam


Reference:

Montjoy CA, Rahman A, Teba L. Ethylene glycol and methanol poisonings: case series and review. W V Med J. 2010 Sep-Oct;106(6):17-23. PMID: 21928557.

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