Ethylene Glycol Toxicity Questions & Answers

Updated: Dec 05, 2017
  • Author: Daniel C Keyes, MD, MPH; Chief Editor: Sage W Wiener, MD  more...
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Questions & Answers

Overview

What is ethylene glycol (EG) toxicity?

What are stages of ethylene glycol (EG) toxicity?

What is the pathophysiology of ethylene glycol (EG) toxicity?

What is the prevalence of ethylene glycol (EG) toxicity in the US?

Presentation

What should be the focus of clinical history for suspected ethylene glycol (EG) toxicity?

Which physical findings suggest ethylene glycol (EG) toxicity?

What causes ethylene glycol (EG) toxicity?

DDX

Which conditions should be included in the differential diagnoses of ethylene glycol (EG) toxicity?

What are the differential diagnoses for Ethylene Glycol Toxicity?

Workup

What is the role of lab testing in the diagnosis of ethylene glycol (EG) toxicity?

What is the role of serum osmolality in the diagnosis of ethylene glycol (EG) toxicity?

Which lab tests should be performed in symptomatic patients with ethylene glycol (EG) toxicity?

What is the role of a Wood's lamp in the diagnosis of ethylene glycol (EG) toxicity?

What is the role of imaging studies in the diagnosis of ethylene glycol (EG) toxicity?

What is the role of urine microscopy in the diagnosis of ethylene glycol (EG) toxicity?

Treatment

Which organization has published guidelines for the medical management of ethylene glycol (EG) toxicity?

What is the initial emergency department (ED) treatment of ethylene glycol (EG) toxicity?

What is included in prehospital care for ethylene glycol (EG) toxicity?

What are the initial considerations for emergency department (ED) care of ethylene glycol (EG) toxicity?

When is treatment for suspected ethylene glycol (EG) intoxication indicated?

What is the role of fomepizole (Antizol) in the treatment of ethylene glycol (EG) toxicity?

What is the role of ethanol in the treatment of ethylene glycol (EG) toxicity?

What is the role of hemodialysis in the treatment of ethylene glycol (EG) toxicity?

Which specialist consultations are beneficial to patients with ethylene glycol (EG) toxicity?

Medications

Which medications are used in the treatment of ethylene glycol (EG) toxicity?

Which medications in the drug class Nutrients are used in the treatment of Ethylene Glycol Toxicity?

Which medications in the drug class Antidotes are used in the treatment of Ethylene Glycol Toxicity?