A 38-year-old woman presents with tinnitus, vomiting, tachypnoea, fever, and confusion after taking many aspirin tablets. ABG shows pH 7.48 with

Question

A 38-year-old woman presents with tinnitus, vomiting, tachypnoea, fever, and confusion after taking many aspirin tablets. ABG shows pH 7.48 with PaCO2 21 mmHg; chemistry shows bicarbonate 14 mmol/L and salicylate level is high. What is the most likely diagnosis?

Accepted Answer

Salicylate poisoning

Answer

Opioid toxicity

Answer

Serotonin syndrome

Answer

Lithium toxicity

Answer

Tricyclic antidepressant poisoning

Salicylate poisoning — RCPSC EM MCQ

A 38-year-old woman presents with tinnitus, vomiting, tachypnoea, fever, and confusion after taking many aspirin tablets. ABG shows pH 7.48 with PaCO2 21 mmHg; chemistry shows bicarbonate 14 mmol/L and salicylate level is high. What is the most likely diagnosis?