KOH - NaOH - Amonia - .................
Clinical picture:
1- Local burns around mouth and lips.
2- Excess mucous.
3- Puffy swelling of tissues.
4- Whitish vomiting and containing blood.
Treatment:
1- First aid. 2- Antidote. 3- Supportive treatment. 4- Surgery.
1- First aid:
Washing with water current.
Removing of all clothes containing corrosives.
Give milk or water.
2- Antidote: Milk is the best.
3- Supportive treatment:
Corticosteroids to decrease fibrosis.
Demulcents: continue to give milk, egg white and olive oil.
Soft diet + more fluids for dehydration.
Pain relieving by morphine ampoule.
No gastric lavage (no intubation).
No induction of vomiting.
4- Surgery:
If perforation occurs.
Esophageal dilatation started from 6th day
Clinical picture:
1- Local burns around mouth and lips.
2- Excess mucous.
3- Puffy swelling of tissues.
4- Whitish vomiting and containing blood.
Treatment:
1- First aid. 2- Antidote. 3- Supportive treatment. 4- Surgery.
1- First aid:
Washing with water current.
Removing of all clothes containing corrosives.
Give milk or water.
2- Antidote: Milk is the best.
3- Supportive treatment:
Corticosteroids to decrease fibrosis.
Demulcents: continue to give milk, egg white and olive oil.
Soft diet + more fluids for dehydration.
Pain relieving by morphine ampoule.
No gastric lavage (no intubation).
No induction of vomiting.
4- Surgery:
If perforation occurs.
Esophageal dilatation started from 6th day
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