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Emergency Medicine Board Bombs
170. Iron Toxicity: Do you even lift bro?
Mar 20, 2023
The podcast discusses iron toxicity, its presentation, diagnosis, and management, particularly in children who accidentally ingest iron supplements. It covers the mechanism, symptoms, and diagnosis of iron toxicity, as well as the management and treatment options. The hosts also talk about the use of Deferoxamine for iron toxicity and mention an upcoming trip.
17:39
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Quick takeaways
- Iron toxicity is a result of excessive free elemental iron causing free radical production and widespread cellular damage, presenting with symptoms such as tachypnea, metabolic acidosis, abdominal tenderness, and lethargy.
- Diagnosis of iron poisoning involves comprehensive history and physical examination, checking for home supplements, while treatment includes aggressive volume resuscitation, serial EKGs, and considering iron chelation therapy.
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Presentation of Iron Toxicity in a 16-Year-Old Male
A 16-year-old male presents to the ED with symptoms of nausea, vomiting, and diarrhea. On examination, he appears muscular, carrying a plastic gallon with him for hydration and drinking a whey protein shake. He reveals that he consumed two bottles of iron supplements called 'iron builder' as part of his preparation for a weightlifting competition. The most common cause of death in this condition is hypovolemic shock.
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