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Lithium poisoning (Clinical
presentation (Tremor, Ataxia, Diarrhoea,…
Lithium poisoning
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Diagnosis
Examination
Neuro: tremor, ataxia, seizures,
clonus, hypertonia, reduced GCS
Investigations
Bedside: obs, ECG, BM
Bloods: ABG, FBC, U+E, LFTs, tox (Li level)
History
PC/HPC: dose, timing, other drugs
PMH: psychiatric history
DH: Li, other meds, allergies
SH: alcohol, illicit drugs, smoking
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Management
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Definitive
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Conservative
Monitoring (obs, neuro, Li levels)
IV fluids
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