lye injury

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lye injury

Toxicology A condition often caused by ingestion of bleach, suicidal in adults; accidental in children; 5% develop SCC 20-40 yrs after LI Clinical, acute Tachycardia, retrosternal pain, copious frothy mucus, hematemesis, sloughing of esophageal mucosa, dysphagia followed by fibrosing stricture Imaging Barium 'swallows' demonstrate pencil-thin esophageal lumen Management Bougienage is a therapeutic mainstay; given the potential for perforation, it is best begun ≥ 5 days post-insult; some prefer large-bore nasogastric tubes to bougienage, as the strictures formed are of a large and useful diameter; pharmacologic doses of corticosteroids may minimize fibrosis

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injury malignant dysphagia			LVN Lw LWBS LWD Lwoff LWSD lx ly-1 marker lyase lyases lycanthropy Lycium halimifolium lyco- lycoctinine lycopene lycopenemia lycoperdonosis Lycopersicum esculentum Lycopus europaeus Lycopus virginicus lycorine Lycoris Lycosa tarentula Lycra lye lye injury lye poisoning Lyell syndrome Lyell's disease Lygodesmia juncea lying lying-in Lyme arthritis Lyme borreliosis Lyme disease Lyme disease test Lyme disease vaccine Lyme embryopathy Lyme encephalopathy Lyme meningoencephalitis LYMErix Lymnaea lymph lymph capillary lymph cell Lymph channels lymph corpuscle lymph follicle lymph follicle hypertrophy lymph gland lymph gland infection/inflammation			Lydia Farnsworth Lydia Jackson Lydia Jackson Lydia Kamakaeha Lydia Kamakaeha Lydia Kamekeha Paki Liliuokalani Lydia Koidula Lydia Maria Francis Lydia Pinkham (disambiguation) Lydia, Mount Lydian Lydian Lydian Lydian Chromatic Concept Lydian Empire Lydian Empire Lydian stone Lydian stone Lydians Lydians Lydine Lydite Lydite Lydney Area in Partnership LYDNQ lye lye lye lye lye hominy lye injury lye poisoning Lyell Lyell Lyell Charles Lyell syndrome Lyell's disease Lyell's syndrome Lyell's syndrome Lyell, Charles Lyell, Sir Charles Lyell, Sir Charles Lyencephala Lyencephalous Lyerman LYES LYF LYFA LYFB Lyfe LYFL Lyflex LYFS Lyft LYFTS LYG lygaeid lygaeid bug

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