Curbside Consultation in Endoscopy: 49 Clinical Questions, Second Edition

Joseph Leung, MD; Simon Lo, MD

Question 4: You Were Called By The Er Physician Regarding A Female Who Attempted To Commit Suicide By Drinking Toilet Cleaning Solution. There Were Obvious Burns Around The Mouth And Tongue. What Would You Do Next? (continued)

D. Nageshwar Reddy, MD, DM, FRCP, DSc; Rajesh Gupta, MD, DM

Ingestion of a corrosive substance is a common medical emergency. In adults, it is generally deliberate with suicidal intent. The first task while attending such a patient is to assess his or her hemodynamic stability. Whenever respiratory symptoms are present, the airway must be secured, either by endotracheal intubation or tracheostomy. When the patient is stable hemodynamically, the detailed history and physical examination is performed. There is poor correlation between symptoms and extent of injury, as many patients are asymptomatic initially, and symptoms may be delayed for several…