Facharzt FMH Kinder- Und Jugendmedizin Practice Questions - Facharzt FMH Für Kinder- Und Jugendmedizin Spécialiste FMH En Pédiatrie Exam

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A 2-year-old child is brought to the emergency department 3 hours after ingesting an unknown quantity of adult ferrous sulfate tablets. The child has had multiple episodes of vomiting with blood-streaked emesis, abdominal pain, and lethargy. Abdominal radiography reveals multiple radiopaque densities in the stomach. Serum iron measured 4 hours post-ingestion is 96 µmol/L (536 µg/dL). What is the specific antidote indicated for this patient?

Oral penicillamine therapy combined with high-dose vitamin C Oral activated charcoal via nasogastric tube at 1 g/kg Intravenous dimercaprol (British anti-Lewisite) administered intramuscularly Intravenous deferoxamine infusion titrated to clinical improvement and disappearance of vin rosé urine

Correct Answer:

Intravenous deferoxamine infusion titrated to clinical improvement and disappearance of vin rosé urine

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