28. Caustic Ingestion with Cardiotoxic Effects

  1. Christopher P. Holstege MD3,4,5,
  2. Alexander B. Baer MD3,6,
  3. Jesse M. Pines MD, MBA, MSCE7,8 and
  4. William J. Brady MD9,10,11
  1. Heather A. Borek MD1,2 and
  2. Christopher P. Holstege MD3,4,5

Published Online: 3 AUG 2011

DOI: 10.1002/9781444397994.ch28

Visual Diagnosis in Emergency and Critical Care Medicine, Second Edition

Visual Diagnosis in Emergency and Critical Care Medicine, Second Edition

How to Cite

Borek, H. A. and Holstege, C. P. (2011) Caustic Ingestion with Cardiotoxic Effects, in Visual Diagnosis in Emergency and Critical Care Medicine, Second Edition (eds C. P. Holstege, A. B. Baer, J. M. Pines and W. J. Brady), Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781444397994.ch28

Editor Information

  1. 3

    Division of Medical Toxicology, University of Virginia School of Medicine, Charlottesville, VA, USA

  2. 4

    Blue Ridge Poison Center, University of Virginia School of Medicine, Charlottesville, VA, USA

  3. 5

    Departments of Emergency Medicine & Pediatrics, University of Virginia School of Medicine, Charlottesville, VA, USA

  4. 6

    Department of Emergency Medicine, University of Virginia School of Medicine, Charlottesville, VA, USA

  5. 7

    Center for Health Care Quality, George Washington University, Washington, DC, USA

  6. 8

    Departments of Emergency Medicine and Health Policy, George Washington University, Washington, DC, USA

  7. 9

    Department of Emergency Medicine, University of Virginia, Charlottesville, VA, USA

  8. 10

    Center for Emergency Management, University of Virginia Health System, Charlottesville, VA, USA

  9. 11

    Charlottesville-Albemarle Rescue Squad & Albemarle County, Fire Rescue, Charlottesville, VA, USA

Author Information

  1. 1

    Division of Medical Toxicology, Charlottesville, VA, USA

  2. 2

    Department of Emergency Medicine, Charlottesville, VA, USA

  3. 3

    Division of Medical Toxicology, University of Virginia School of Medicine, Charlottesville, VA, USA

  4. 4

    Blue Ridge Poison Center, University of Virginia School of Medicine, Charlottesville, VA, USA

  5. 5

    Departments of Emergency Medicine & Pediatrics, University of Virginia School of Medicine, Charlottesville, VA, USA

Publication History

  1. Published Online: 3 AUG 2011
  2. Published Print: 12 AUG 2011

ISBN Information

Print ISBN: 9781444333473

Online ISBN: 9781444397994

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Keywords:

  • Case 28, caustic ingestion with cardiotoxic effects;
  • 47-year-old male - ingesting a blue liquid, thinking it was a sport drink;
  • throat irritation, within 5 minutes of ingestion - nausea and vomiting;
  • one hour of ingestion, complaints of nausea - weakness, intense pleuritic chest pain;
  • voice, hoarse - difficulty in swallowing secretions;
  • examination, oropharynx with inflamed mucosa - abdomen soft, mild tenderness diffusely;
  • patient's initial ECG (ECG 1) 1 hour after ingestion;
  • electrocardiogram (ECG 2) noted;
  • electrolyte abnormality, on laboratory analysis