ABSTRACT
An diagnosing of ethanol dependence, despite of clear ICD 10 criteria, in patients treated particularly at the toxicological and detoxication wards, but also in other hospital wards is still a difficult task. Several questionnaires have been developed for easier detection of symptoms, the way of drinking and also for economic, family and medical effects of ethanol drinking in examined patients. A high sensitivity and specificity of CAGE and SAAST questionnaires allowing to identify problem drinkers or alcohol dependence in 192 patients of Kraków Department of Toxicology and 475 patients of Detoxification Unit was stated in the study. The CAGE questionnaire has allowed to identify the possibly ethanol dependence in group of 74 patients hospitalized at the Ward of Internal Diseases and Dialysis of Town Hospital in Sieradz, because of illness, that were not connected with alcohol drinking.
Subject(s)
Alcohol Drinking/epidemiology , Alcoholism/diagnosis , Surveys and Questionnaires , Adult , Alcoholism/epidemiology , Alcoholism/therapy , Comorbidity , Female , Humans , Male , Middle Aged , Poland/epidemiology , Predictive Value of Tests , Sensitivity and SpecificityABSTRACT
The case of accidental, acute oral poisoning with concentrated hydrogen peroxide with peracetic acid components of disinfectant using in food industry (Steridial P) is presented. Neurological sequelae as a result of gas embolisation and supportive and symptomatic treatment are described.
Subject(s)
Disinfectants/poisoning , Embolism, Air/chemically induced , Hydrogen Peroxide/poisoning , Nervous System Diseases/chemically induced , Peracetic Acid/poisoning , Poisoning/therapy , Brain/diagnostic imaging , Brain/pathology , Humans , Magnetic Resonance Imaging , Male , Middle Aged , Nervous System Diseases/therapy , Tomography, X-Ray ComputedABSTRACT
The symptoms and clinical course of repeated poisonings with isopropyl alcohol in ethanol addicted 43-years old man is presented in the study. The blood and urine concentrations of isopropanol and acetone and also the blood ethanol concentration are given. The biological half-life of isopropanol calculated for the first 12 hours from admission to the Clinic was 6.9 hours. The biological half-life of acetone in the first 6 hours of hospitalisation was 5 hours, and then a considerable slowing down up to 29 hours was noted. The clinical symptoms, similar to ethanol poisoning, including strongly manifested catatonia and ketonuria without metabolic acidosis indicate the isopropanol intoxication. Hypokalemia should to be taken into consideration in treatment of isopropanol poisoning. An intravenous bicarbonates should be administered carefully e.g. when rhabdomyolysis occur.
