1. INTERNAL MEDICINE

2. CORROSIVE POISONING Def: Corrosive poisoning results from ingestion, topical exposure or inhalation of chemical compounds that causes tissue injury as result of chemical reaction.

3. CORROSIVE POISONING Clinical feature: Intense burning pain in mouth, throat, esophagus extending down to the stomach. Frothy eructations, retching and vomiting. The vomit is brown or black and contain blood. Intense thirst and vomiting leads to dehydration. Horseness voice and husky owing to inflammation of epiglottis and larynx. Speech is painful and difficult. Breathing becomes difficult. Tongue is swollen, sodden and black is covered with a white coating resembling soaked parchment.

4. CORROSIVE POISONING Clinical feature: Teeth are chalky white colour. Lips are swollen and excoriated, brown or black streaks resulting from action of acid. Constipation. Urine is scanty or suppressed. Cold clammy skin Low blood pressure Pulse is fast and feeble Anxious Shock Death due to cardio-respiratory failure

5. CORROSIVE POISONING Investigation: CBC ECHO LFT RFT Serum electrolytes Blood gas analysis Blood for C/S

6. CORROSIVE POISONING Management: Avoid gastric lavage Should be immediately diluted and neutralized by giving one-fourth liter of water is seen within 30 minutes of ingestion Give a demulcent- olive oil, milk, egg whites melted butter etc Prednisolone 60 mg/day Correct the circulatory shock

7. CORROSIVE POISONING Management: Tracheostomy, if there is oedema of glottis Give nothing by mouth Skin burns are washed with large amounts of water Eye burns are irrigated with plain water for 15 minutes symptomatic