Which of the Following Treatments Should Be Initiated?

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

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

Explore cases, quiz yourself, and solve medical mysteries along with thousands of other medical professionals around the world on Figure 1, the free app where doctors expand their clinical knowledge.

Student Doctor Network

We’ve been on the Internet for over 20 years doing just one thing: providing career information for free or at cost. We do this because we believe that the health education process is too expensive and too competitive. There are a lot of people and organizations that have built their business making money on students that are desperate for any opportunity to become a doctor. We believe that all students deserve the same access to high quality information. We believe that providing high quality career advice and information ensures that everyone, regardless of income or privilege, has a chance to achieve their dream of being a doctor. SDN is published by CRG, a nonprofit educational organization.

Student Doctor Network has 28 posts and counting. See all posts by Student Doctor Network