REBEL Core Cast 128.0 – Toxic Alcohols
REBEL Cast
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Evaluating Toxic Alcohol Ingestion
This chapter focuses on the assessment and management of patients with suspected methanol and ethylene glycol ingestion. It emphasizes the role of laboratory tests and clinical judgment in accurately diagnosing toxic alcohol exposure, while highlighting the limitations of relying solely on osmolar gap calculations.
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Take Home Points Toxic alcohols generally refer to methanol and ethylene glycol as these substances pose significant metabolic derangement and end-organ damage. Patient who present shortly after ingestion will simply look inebriated – no different than ethanol intoxication. At this point, patients will have an elevated osmolar gap and little to no anion gap. Patient ... 
