47 yr Old Woman Presenting Vomiting & Confusion state with chronic atrial fibrillation– Case Report.

Dr. Naresh Sen; Dr. Sonal Tanwar

Volume : VI, Issue : III, March - 2016

47 yr Old Woman Presenting Vomiting & Confusion state with chronic atrial fibrillation– Case Report.

Dr. Naresh Sen, Dr. Sonal Tanwar

Abstract :

 A 47–year–old Woman was admitted with Presenting complaint of confusion for the past two weeks with chronic atrial fiillation. She was diagnosed as digitalis toxicity. In acute digoxin toxicity, patients or family members may provide the history of exposure or suicidality. Acute digoxin toxicity is characterised by patients being asymptomatic for minutes to hours after an exposure to digoxin, followed by a rapid deterioration. The symptoms usually include nausea, vomiting, anorexia, diarrhoea, and/or abdominal pain (less common), and may include palpitations, syncope and dyspnoea. Chronic digoxin toxicity is more common in elderly patients. It represent as : nausea, anorexia, abdominal pain, weakness, fatigue, palpitations, syncope, dyspnoea, disturbances of colour vision with a tendency to yellow halos (xanthopsia), blurred vision, and diplopia. Patients most often present with GI signs (anorexia and vomiting) and generalised non–specific complaints (generalised weakness and malaise), but could also present with CNS depression.