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Corrosive Ingestion

Corroded 2

Step 1: View clinicals

A 22 year old woman presents 20 minutes after swallowing half of an 8-ounce bottle of drain cleaner. She had engaged in a heated argument with her partner immediately beforehand. She vomited once, soon after ingestion, and now complains of severe odynophagia. She did not experience dyspnea, chest pain, or abdominal pain. Her medical, surgical, and family histories are unremarkable, and she is not on any medications. She only drinks socially, does not smoke, and does not use recreational drugs.

Step 2: Order all relevant investigations

ABG + Serum Electrolytes

The arterial blood gas assay is within normal parameters, as are serum Na+, K+, Cl- and Ca++ levels.

Chest X-Ray

The chest x-ray appears completely normal.

Upper GI Endoscopy in 12h

A grade II-A caustic injury of the esophagus is noted. Gastric hyperemia is present. No other abnormalities are detected.

CT Thorax + Abdomen

The CT scans appear completely normal.

Step 3: Select appropriate management

Activated Charcoal
Total Parenteral Nutrition
IV Antibiotics
Urgent Intubation

Score: ★★☆