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Phys Written Answerspharmacological

Phys Written Answers · pharmacological

Toxic Alcohols — Written Clinical Reasoning

DCE-style written reasoning for Toxic Alcohols.

1 min readVerification in progress

Target exams

FRACP DCEMRCP Part 2
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Study tools

Target exams

FRACP DCEMRCP Part 2
Prompt
DCE-style written reasoning for Toxic Alcohols.

SAQ 1 — Integrated plan (12 marks)

Prompt: Provide a prioritised problem list and management sequence for this presentation. [1] [2]

Model Answer

1. Frame and red flags (3 marks) [1]

State the working diagnosis/syndrome, acuity, and what would force emergency treatment now. [1] [2]

2. Discriminating assessment (3 marks) [2]

List the key history, examination and investigations that separate dangerous differentials from benign mimics. [1] [2]

3. Treatment sequence (4 marks) [1] [3]

Immediate stabilisation, disease-specific therapy, monitoring, and complications prevention. [1] [2] [3]

4. Follow-up and communication (2 marks) [2]

Disposition, safety-net advice, and who owns follow-up. [1] [2]

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References3ShowHide
  1. [1]Brent J, McMartin K, Phillips S, Burkhart KK, et al. Fomepizole for the treatment of ethylene glycol poisoning. Methylpyrazole for Toxic Alcohols Study Group N Engl J Med, 1999.PMID 10080845
  2. [2]Brent J, McMartin K, Phillips S, et al. Fomepizole for the treatment of methanol poisoning N Engl J Med, 2001.PMID 11172179
  3. [3]Ghannoum M, Gosselin S, Hoffman RS, et al. Extracorporeal treatment for ethylene glycol poisoning: systematic review and recommendations from the EXTRIP workgroup Crit Care, 2023.PMID 36765419
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