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Which of the Following Treatments Should Be Initiated?

Last Updated on February 27, 2019 by

A 20-year-old mechanic is brought to the emergency room after his co-workers found him exiting the garage inebriated and confused hours earlier. On examination, he is disoriented, ataxic, and complains of nausea. A urine toxicology screen is negative and urinalysis reveals the rhomboid calcium oxalate crystals seen here. Which of the following treatments should be initiated?

A. Nasogastric lavage
B. N-acetylcysteine
C. Activated charcoal
D. Fomepizole

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Find the answer, discuss this case, and more on Figure 1.