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Table of contents
Slide 1
Chief Complaint
HPI
Slide 4
Slide 5
Slide 6
Slide 7
Slide 8
Initial Labs in the ED
Slide 10
Dr. Mackey’s Consultation
Slide 12
Slide 13
Slide 14
Past Medical History
Social History
Physical Exam
Slide 18
MICU Admission Labs
Slide 20
EKG
Consultation
A Review of the Delta/Delta
Slide 24
Consultation
Slide 26
Workup
Other Lab Data
Workup – Osmolal Gap
Consultation
Work-up - Urine Studies
Slide 32
Slide 33
Consultation
Urine Fluorescence in Ethylene Glycol Poisoning
Ethylene Glycol Toxicity
Slide 37
Slide 38
Slide 39
Slide 40
Slide 41
Treatment of Methanol and Ethylene Glycol Intoxication
Ethanol Infusion
Fomepizole (4-methylpyrazole)
Fomepizole for the Treatment of Ethylene Glycol Poisoning
Slide 46
Slide 47
Hemodialysis
Other Treatment for Ethylene Glycol Intoxication
Slide 50
Hospital Course
Slide 52
Slide 53
Slide 54
Slide 55
Slide 56
Slide 57
Slide 58
Slide 59
Slide 60
autopsy findings
Why is this an ME case?
What did we do?
Slide 64
Investigator’s Report
Autopsy findings
Kidney findings
Calcium oxalate crystals
Slide 69
Lacunar infarcts
Pontine infarct
EG Pathophysiology
Ethylene Glycol Neuropathology
Discussion with family
Slide 75
Slide 76
Final Certification
“Our most effective autopsy instrument is the telephone.”
Key Points
Thank You
Author:
Steve Mackey