| A case of water hemlock poisoning. | |
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MedLine Citation:
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PMID: 491328 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Water hemlock is a ubiquitous plant that can be mistaken for a turnip as in the case reported. Oral ingestion causes an explosive illness consisting of nausea, vomiting, abdominal cramps, and grand mal seizures that can progress to cyanosis and death. In the reported case a 30-year old man was found semi-comatose some 75 minutes after ingesting a "turnip". The history revealed profuse emesis shortly after eating lunch that changed from bile to frank blood. There was a mean orthostatic blood pressure change of 30 torr, with an increase in the heart rate of 10%. Neurologic examination revealed a lethargic patient. Following administration of 4 liters of Ringer's lactate the patient's blood pressure stabilized and with continued isotonic fluid maintenance he improved rapidly. This case indicates that appropriate management should be directed toward protecting the patient's airway from gastric aspiration, restoring the intravascular and extracellular volume deficit, and controlling cerebral edema. |
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Authors:
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J J Applefeld; E S Caplan |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: JACEP Volume: 8 ISSN: 0361-1124 ISO Abbreviation: JACEP Publication Date: 1979 Oct |
Date Detail:
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Created Date: 1979-12-27 Completed Date: 1979-12-27 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0317011 Medline TA: JACEP Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 401-3 Citation Subset: AIM; IM |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Coma / etiology Humans Hypotension / etiology Male Plant Poisoning / diagnosis*, therapy Vomiting / etiology |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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