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- W971567385 abstract "A 51-year-old male with a history of depression and multiple prior suicide attempts was found obtunded in his car, along with a half-full bottle of industrial-strength drain cleaner. His exam was notable only for altered sensorium. Laboratory data showed potassium of 5.6 mEq/L, lactate 2.5 mmol/L andWBC 13.1 k/uLHis urinewas positive for benzodiazepine and oxycodone. Abdominal x-ray demonstrated gastric wall thickening and extensive small bowel gas without evidence of free air (Fig. 1). EGD showed severe esophageal ulceration with necroticappearing mucosa and ulcerated, friable gastric mucosa without evidence of perforation—findings which were consistent with a grade 3 esophageal caustic injury from alkali intake (Fig. 2). He was started on intravenous pantoprazole infusion and total parenteral nutrition (TPN). He remained on TPN for one month. Caustic alkali injuries represent direct trauma to the mucosal tissue from a process known as liquefactive necrosis, which may ultimately lead to perforation, rupture, or even death. Given the severity of potential short-term complications, patients with suspected injury should undergo urgent endoscopy within 24 h and be closely followed thereafter. Long-term complications of esophageal caustic injuries include esophageal strictures and 1000-fold increased risk of esophageal squamous cell cancer." @default.
- W971567385 created "2016-06-24" @default.
- W971567385 creator A5045662871 @default.
- W971567385 date "2015-06-24" @default.
- W971567385 modified "2023-09-27" @default.
- W971567385 title "“Doctor, My Chest is on Fire”" @default.
- W971567385 cites W1985756655 @default.
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- W971567385 doi "https://doi.org/10.1007/s11606-015-3445-9" @default.
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