Patient presentations
MLA Domain 5 · Presentation
Overdose
4 conditions in Finalist present this way. Work down the list and ask what would separate each one from the next — that discriminator is the exam question.
classic presentation · 3
Acute liver failure
Encephalopathy/cerebral oedema, hypoglycaemia, rising INR/lactate → transplant centre (King's College criteria)
Salicylate (aspirin) overdose
Severe acidosis, very high levels, altered consciousness, seizures, renal failure → haemodialysis
Tricyclic antidepressant overdose
QRS >100–120 ms, ventricular arrhythmia, seizures, hypotension, metabolic acidosis
differential of the above · 1