A Case of Intentional Elemental Mercury Ingestion

A 22-year-old man ingested 2 tablespoons of elemental mercury from a home chemistry set in a suicide attempt. On presentation, he denied any symptoms. Vital signs and routine laboratory test results were unremarkable. His 24-hour urine mercury test result was 44 ug/L. An acute abdominal series showed scattered radiopaque material throughout the small bowel, large bowel, and right lower lung (Figure A). He was given 4 L polyethylene glycol to facilitate whole-bowel irrigation. Serial abdominal plain films showed improvement of radiopaque material and the patient remained asymptomatic.
Source: Clinical Gastroenterology and Hepatology - Category: Gastroenterology Authors: Tags: Electronic Image of the Month Source Type: research

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CONCLUSION: I2/Q ratio may provide a consistent quantitative measure of a student's efficiency in assessing suicidal risk. Further research is now needed to evaluate its consistency in other clinical cases. PMID: 31522835 [PubMed - as supplied by publisher]
Source: L Encephale - Category: Psychiatry Tags: Encephale Source Type: research
This study is a prospective, exploratory, qualitative analysis. Twenty midwives from Grenoble Alpes University Hospital who took care of one of the selected patients participated in this study. Two women had schizophrenia and one bipolar disorder. Interviews realized with a semi-structured guide were fully transcribed, anonymized and thematically analyzed. Topics have been structured according to the number of occurrences to build a thematic tree. RESULTS: Midwives felt insecure and resourceless when the postpartum care was unclear, insufficiently anticipated and in case of a danger for the women or the children. They ...
Source: L Encephale - Category: Psychiatry Tags: Encephale Source Type: research
CONCLUSION: A psychotic experience could be traumatic for patients and lead to complete PTSD. Although it appears as a non-consensual clinical entity, from a likely epistemological slip of the definition of "psychotrauma", the consideration of potential PTSD-PP presents an undoubted clinical relevance. Indeed, it could help practioners to precise the semiological analysis of patients recovering from an acute psychotic episode; to impact the prognosis of psychosis, thinking about impairment on the quality of life and the affective and suicidal comorbidities; and to modify the therapeutic approach in the recovery o...
Source: L Encephale - Category: Psychiatry Tags: Encephale Source Type: research
Source: BMJ Comments - Category: General Medicine Source Type: forums
CONCLUSIONS: The observed symptomatic differences may be an additional factor of MDD/DB differential diagnosis. Lower than previously reported symptoms stability highlights the need to evaluate more than one depressive episode in differential diagnosis. PMID: 31522204 [PubMed - in process]
Source: Psychiatria Polska - Category: Psychiatry Tags: Psychiatr Pol Source Type: research
Publication date: December 2019Source: Cancer Epidemiology, Volume 63Author(s): Omar Abdel-RahmanAbstractObjectiveTo assess the socioeconomic predictors of suicide risk among cancer patients in the United States.MethodsCancer patients available within Surveillance, Epidemiology and End Results (SEER) database who were diagnosed between 2000–2010 have been reviewed. Linkage analysis to Census 2000 SF files was conducted to determine area-based socioeconomic attributes. Observed/ Expected ratios were calculated for the overall cohort as well as for clinically and socioeconomically defined subgroups. “Observed&rdq...
Source: Cancer Epidemiology - Category: Cancer & Oncology Source Type: research
A National Youth Sports Strategy to increase physical activity among America’s kids is slated to come out of the Department of Health and Human Services (HHS) this month—and it can’t come too soon. The reasons that our kids should participate in sports are many—from boosting cardiovascular health, to  helping them develop self-control, to the positive impact that exercise has on academic performance.  But today, the most pressing reason to encourage sports participation among our youth is their mental health. Our kids are struggling—and the data isn’t looking good. Suicide is n...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Children and Teens General Health-related Mental Health and Wellness Childhood Development kids sports Source Type: blogs
CONCLUSION: Overall, a positive outlook was found to be the primary enabler in the farmers' recovery. It is recommended that injured farmers should be provided with additional psychological support and advice to aid in their recovery. Additionally, psychological support services should be extended to include both the family network and the broader farming community, as these were found to experience significant short- and long-term stress following farmers' injury. PMID: 31522511 [PubMed - in process]
Source: Rural and Remote Health - Category: Rural Health Tags: Rural Remote Health Source Type: research
I ’m a patient and consumer advocate who has dedicated my career to improving the health care system. I’ve encountered the good, the bad, and the ugly of our health care system, but I was still not prepared for what I heard in April 2016 when I attended my first national medical association confer ence and listened […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more.
Source: Kevin, M.D. - Medical Weblog - Category: General Medicine Authors: Tags: Patient Psychiatry Source Type: blogs
BACKGROUND: Non-suicidal self-injury (NSSI) is a serious public health concern in adolescents. In 2013, DSM-5 recognized NSSI as a distinct clinical phenomenon and made a call for more systematic research by including Non-Suicidal Self-Injury-Disorder (NSS...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Age: Adolescents Source Type: news
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