• Registration
  • Login
JETem
  • Home
  • About
    • Aim and Scope
    • Our Team
    • Editorial Board
    • FAQ
  • Issues
    • Current Issue
    • Ahead of Print
    • Past Issues
  • Visual EM
    • Latest Visual EM
    • Search Visual EM
    • Thumbnail Library
  • For Authors
    • Instructions for Authors
    • Submit to JETem
    • Photo Consent
    • Policies
      • Peer Review Policy
      • Copyright Policy
      • Editorial Policy, Ethics and Responsibilities
      • Conflicts of Interest & Informed Consent
      • Open Access Policy
  • For Reviewers
    • Instructions for JETem Reviewers
    • Interested in Being a JETem Reviewer?
  • Topic
    • Abdominal / Gastroenterology
    • Administration
    • Board Review
    • Cardiology / Vascular
    • Clinical Informatics, Telehealth and Technology
    • Dermatology
    • EMS
    • Endocrine
    • ENT
    • Faculty Development
    • Genitourinary
    • Geriatrics
    • Hematology / Oncology
    • Infectious Disease
    • Miscellaneous
    • Neurology
    • Ob / Gyn
    • Ophthalmology
    • Orthopedics
    • Pediatrics
    • Procedures
    • Psychiatry
    • Renal / Electrolytes
    • Respiratory
    • Toxicology
    • Trauma
    • Ultrasound
    • Wellness
    • Wilderness
  • Modality
    • Curricula
    • Innovations
    • Lectures
    • Oral Boards
    • Podcasts
    • Simulation
    • Small Group Learning
    • Team Based Learning
    • Visual EM
  • Contact Us

Case Report: Antifreeze Ingestion and Urine Fluorescence

Taras Varshavsky, MD* and Meigra Myers Chin, MD *

*Rutgers Robert Wood Johnson Medical School, Department of Emergency Medicine, New Brunswick, NJ

Correspondence should be addressed to Taras Varshavsky, MD at tv105@rwjms.rutgers.edu

DOI: https://doi.org/10.21980/J8G05T Issue 5:1
ToxicologyVisual EM
No ratings yet.

ABSTRACT:

This case report presents a patient with ethylene glycol intoxication from antifreeze ingestion. Ethylene glycol is an active ingredient in antifreeze, traditionally causing an anion gap metabolic acidosis with a high osmolality gap. In our emergency department, serum ethylene glycol is a send-out test requiring hours for a result. The patient presented here had an initial acidotic venous blood gas with an elevated serum osmolality and osmolality gap, and a normal anion gap. Quick bedside analysis of the patient’s urine using ultraviolet fluorescence gave supportive evidence for the ingested substance while the serum ethylene glycol level was still pending. The patient was promptly treated with fomepizole, pyridoxine, thiamine, and sodium bicarbonate. Several hours after admission, the ethylene glycol level had resulted as 636 mg/dL. Due to the quick initiation of treatment, the patient had no complications or signs of end-organ damage during admission.

Topics:

Ethylene glycol, fomepizole, toxicology, ultraviolet fluorescence.

Icon

Ethylene Glycol - Case Report

1 file(s) 796 KB
Download
Icon

Ethylene Glycol - Images

1 file(s) 5.6 MB
Download
Issue 5:1Photograph

Reviews:

No ratings yet.

Please rate this





Open Subtalar Dislocation

31 Dec, 19

Digital Nerve Block for the Reduction of a...

31 Dec, 19
JETem is an online, open access, peer-reviewed journal-repository for EM educators

Most Viewed

  • A Model Curriculum for an Emergency Medicine Residency Rotation in Clinical Informatics
  • Use of An Ophthalmology Tutorial to Improve Resident Comfort with the Emergency Eye Exam
  • A Novel Module Based Method of Teaching Electrocardiogram Interpretation for Emergency Medicine Residents
  • Respiratory Distress in the Pediatric ED: A Case-based Self-directed Learning Module
  • Methemoglobinemia

Visit Our Collaborators

About

Education

Learners should benefit from active learning. JETem accepts submissions of team-based learning, small group learning, simulation, podcasts, lectures, innovations, curricula, question sets, and visualEM.

Scholarship

We believe educators should advance through the scholarship of their educational work. JETem gives educators the opportunity to publish scholarly academic work so that it may be widely distributed, thereby increasing the significance of their results.

Links

  • Home
  • Aim and Scope
  • Current Issue
  • For Reviewers
  • Instructions for Authors
  • Contact Us

Newsletter

Sign up to receive updates from JETem regarding newly published issues and findings.

Copyright © 2016 JETem. All rights reserved.