Sanjay Mohan, an in-house toxicologist, dives into the perilous world of toxic alcohols like methanol and ethylene glycol. He discusses how these substances can present symptoms mimicking ethanol intoxication, complicating diagnosis. The conversation highlights key diagnostic challenges, stressing that a normal osmolar gap doesn't rule out ingestion. Mohan also covers critical management strategies, including the use of fomepizole and the importance of early intervention, particularly in cases of severe metabolic acidosis or renal dysfunction.
