{"ops":[{"insert":{"image":"\/storage\/case-images\/cs\/M5_F1.jpg"}},{"insert":"\n\n"},{"insert":"As you step into the ER for your shift today, you hope that you\u0027ll have an easy day for a change.\n\nYour hopes dim as you spy your colleague in front of you, with a file in her hand.\n\n\u0022Good to see you. Here are the records of the newest admission\u0022, she says while shoving the file into your hands.\n\nYou listen intently, as she describes the patient involved .....\n"}]}

{"ops":[{"insert":{"image":"\/storage\/case-images\/cs\/M5_F2.jpg"}},{"insert":"\n\n"},{"insert":"Nina, a 16 year-old high school student arrived at the ER just a couple of minutes ago.\n\nShe ingested over 30 tablets of non-enteric-coated aspirin roughly 4 hours prior.\n\nShe now complains of a generalized headache, nausea, and \u0022a buzzing in her head\u0022.\n\nShe also vomited once, while at home. There were no pill fragments in the vomitus.\n\nNina has no history of psychiatric or medical conditions, and apparently has been a good student so far.\n\nShe refuses to explain why she ingested the tablets.\n\nYour colleague departs the ER, and you proceed to examine Nina.\n\nHer weight is 64 kg, while her temperature is 37.7 \u00b0C (99.9 \u00b0F), blood pressure is 116\/74 mmHg, and pulse is 108 bpm.\n\nShe is tachypneic, with a respiratory rate of 26 cycles\/min.\n\nThe remainder of the examination is unremarkable.\n\nYour colleague has ordered the usual basic investigations and serum salicylate levels, but their results are yet to arrive.\n"}]}

{"ops":[{"insert":"You realize that gastric decontamination should be your first step. But how?\n"}]}

1. Via gastric lavage

2. Via administration of activated charcoal

3. Via whole bowel irrigation

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