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Paraphenylene Diamine (PPD) Kalapathar Availability As constituent of hair dyes Mode of intake Ingestion Forensic Aspect Suicidal purpose Major Mechanism of action Highly toxic on the respiratory, muscular and renal systems • Antidote Gastric levage with activated charcoal Special remarks if any Early gastric levage can save the life otherwise toxicity leads to failure of respiratory cardiac and renal systems Benzol • Availability headache, sense of constriction about the head Industrial exposure (canning and chest however chronic Factory & Tire Factory). benzol poisoning is accidental Additive to Gasoline, diesel • Major Mechanism of action fuel and paint factories • Forensic Aspect Sever anemia associated with hemorrhage or purpura Suicidal and accidental • Special remarks if any • Clinical Features It is one of the differential Conjunctivitis, Bronchitis diagnosis of aplastic anemia Gingivitis, Stomatitis, and thrombocytopenic Gastritis, Symptoms of purpura Anemia Pallor, Muscular weakness Gastric upset and vomiting, dizziness, Wheat pill (Aluminum phosphide )poisoning • Availability Phosphine gas, ammonia and carbon dioxide are Available as indoor and librated. MOF outdoor fumigant and insect/ rodent repeller • Special remarks if any • Mode of intake Poisoning can be confirmed by silver Ingestion nitrate paper breath test • Forensic Aspect Mostly it is suicidal. • Major Mechanism of action Organophosphate (OP) compounds • Availability Insecticides , antihelmintics (trichlorfon) • Mode of intake Oral /Dermal • Forensic Aspect Mostly it is suicidal but sometimes accidental • Major Mechanism of action Respiratory distress • Antidote Atropine • Special remarks if any Health care providers must avoid contaminating themselves while handling patients (PPE)