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FOOD POISONING

FOOD POISONING. د/ عبد المنعم جودة مدبولى دكتوراة الطب الشرعى و السموم الأكلينيكية , مدرس الطب الشرعى و السموم الأكلينيكية , استشاري علاج التسمم بمستشفى بنها الجامعى. بسم الله الرحمن الرحيم. Objectives (ILOs):. Definition & Types. Diagnosis & DD of food poisoning. Treatment.

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FOOD POISONING

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  1. FOOD POISONING د/ عبد المنعم جودة مدبولى دكتوراة الطب الشرعى و السموم الأكلينيكية, مدرس الطب الشرعى و السموم الأكلينيكية, استشاري علاج التسمم بمستشفى بنها الجامعى بسم الله الرحمن الرحيم Dr. Abdel MOniem GM

  2. Objectives (ILOs): Definition & Types. Diagnosis & DD of food poisoning. Treatment. --------------------------------------------------------------------------------------------------------------------------------------- Botulism: Causative agent. Mechanism of action. Clinical presentation. Diagnosis & DD. Treatment & prevention. Dr. Abdelmonem G M

  3. Definition: • Any illness (toxic hazards) resulting from the consumption of food. Dr. Abdel MOniem GM

  4. Allergy. • Illegal food • additives • Fish • Mushroom • Plants (Herbs) • Bacterial toxin • Contaminated food • Non-invasive • Invasive Dr. Abdel MOniem GM

  5. Clinical picture of food poisonings: أجب عن أربعة أسئلة: • Onset of symptoms …….... • Prominent S & S ………...… • Type of food ………………... • Specific manifestations ….. Dr. Abdel MOniem GM

  6. Diagnosis: Diagnosis of food poisoning is aclinical one: • History(in tables). • Physical findings:(Neurological manifestations, Anticholinergics, Muscle weakness). • Laboratory investigations: • Stool cultures. • Electrolyte abnormalities. Dr. Abdel MOniem GM

  7. Differential diagnosis: • Three life-threatening conditions : • Carbon monoxide poisoning. • Acute myocardial infarction. • Acute surgical abdomen. • Other toxic conditions with prominent GIT manifestations: (heavy metals, Organophosphates/carbamates, Digoxin, Salicylates, Theophylline, Laxatives). Dr. Abdel MOniem GM

  8. Treatment: عامة • ABC. • Electrolyte and fluidimbalances. • Antibiotictherapy (invasive organisms). • Symptomatic ttt(Antiemetics & antispasmotics). • Gastric decontaminationwith activated charcoal (without a cathartic if diarrhea is present) in cases in which aneurotoxinhas been ingested recently. Dr. Abdel MOniem GM

  9. Fish poisoning: • Ciguatera: • Numbness or tingling around the mouth, feeling of loose teeth. • Impaired touch sensation of hot as cold and cold as hot, itching, muscle and joint pain, slow heart rate, low blood pressure. 2. Shellfish: • Numbness or tingling around the mouth or in the arms and legs, • Trouble swallowing, difficulty speaking. Dr. Abdel MOniem GM

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