7.2 Clinical Features of Poisons

The diagnosis's clinic: the symptomatic clusters (the exam's core): the corrosives' burns (the mouth's-and-throat's staining — the acid's black, the alkali's white); the organophosphates' cholinergic syndrome (the SLUDGE mnemonic's faces: the salivation, the lacrimation, the urination, the defecation, the GI-distress, the emesis — the pupils' pinpoint); the opioids' triad (the consciousness's depression, the respiration's depression, the pinpoint pupils — the naloxone's reversal); the cyanide's bitter-almond (the smell's famous sign — the genetic-smeller's caveat); the CO's cherry-red (the lividity's hue); the atropine's dry-and-hot (the datura's face: the flushed skin, the dilated pupils, the delirium). The clinical's discipline: the cluster's recognition (the poisoning's suspicion — the sudden-and-unexplained); the history's search (the container's-and- purchase's faces).