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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)