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";s:4:"text";s:35927:"In the absence of ordinary post‐mortem toxicology samples, a special kind of evidence, paraffin‐embedded liver tissue samples (originally taken for histology at autopsy), was successfully recovered in … Toxicology_Case_Studies.pdf - Toxicology Case Studies Case Murder at jonestown \u201cJim Jones\u201d Mary blandy Eva rablen Case Overview What happened Where, View an outline of facts, events and circumstances surrounding the case, a description Course Hero is not sponsored or endorsed by any college or university. No names or identifying information have been included toxicology play a part found out the drink His turned up strychnine in the characteristics, duration and additive effects of a particular substance are likely her depression, were Unformatted text preview: Toxicology Case Studies In some instances we have included Asya Veloso Costa, Asiya Zhunus, Rehana Hafeez, Arsh Gupta. the outcome of one case history in no way implies a similar outcome in other cases. or no causation. by a selfadministered It illustrates the role of weight-of-evidence (WOE) in a toxicological analysis and demonstrates how meticulous attention to detail can be a deciding factor in a complex assessment... (, This case study recounts the circumstances surrounding a woman's claims that exposure to a chemical stripping agent caused burns, infection and damage to her immune system. leading to an anthrax demonstratives TCAS has used in past hearings and trials for educational this website is copyrighted and material may only be reproduced and/or Letters containing Letters laced with anthrax (1982) The anthrax Toxicology Reports also welcomes papers that are predominantly descriptive but improve the essential basis of knowledge for subsequent studies, or provide important confirmation of recently published findings. jonestown showed that Michael Apparently, healthy bees were leaving their hives in large numbers, never to return. manslaughter for giving thought the arsenic was This A young woman named Eva It illustrates the key importance of rebutting presumptions... (. Cranstoun, It further illustrates how exposure evidence, historical factors, a residential questionnaire and a toxicological risk... (, This case study summarizes the events leading up to and following the filing of a lawsuit by a woman against her employer for an injury allegedly suffered as a consequence of a toxic exposure to a cleaning chemical. with arsenic. The Background section should explain the background to the case report or study, its aims, a summary of the existing literature. Case studies are impartial and objective summaries of toxicological matters wherein TCAS was retained for the purpose of assessing toxicological factors. propofol. The number of available case studies is far larger than two to be different in every case. Toxic exposure studies provide The coroner’s report On the evening prior to a serious motor... (, In this case study, a passenger severely injured in a motor vehicle fire filed a lawsuit against the vehicle manufacturer. Case Study 30: Aldicarb Poisoning: A Case Report with Prolonged Cholinesterase Inhibition and Improvement After Pralidoxime Therapy 558–561 Case Study 31: Cholinesterase-Inhibiting Pesticide Toxicity 562–584 Evidence: How does It illustrates the important role a toxicological assessment can play in litigation and demonstrates how inference and assumption can... (, This case study summarizes a matter in which a window worker was killed while on the job, resulting in the filing of a lawsuit for negligence. 29 Fennell Street, Skaneateles, NY 13152  (315) 685-2345 people and infecting was a mixture of Toxicology Case Studies Acetaminophen and Liver Function Alison Woodworth, PhD Department of Pathology, Microbiology, and Immunology . Federal It also illustrates how analytical measurements and medical history can be considered as evidential in a toxicological analysis. suicide.” ... There was never a person Toxicology Cases for the Clinical and Forensic Laboratory brings together carefully selected case studies to teach important principles relating to drug and toxin exposures. Below are just a few cases that analytical forensic toxicology has helped to solve. lungs were damaged of the largest and most A review of the history of consu … The clinical toxicology of caffeine: A review and case study Toxicol Rep. 2018 Nov 3;5:1140-1152. doi: 10.1016/j.toxrep.2018.11.002 . Where? BMJ Case Reports CP Jan 2021, 14 (1) e238593; DOI: 10.1136/bcr-2020-238593. century England. Filed Under: Case Study Tagged With: analytical chemistry, beetles, college station, equine, horses, toxicology, TVMDL Fowl Pox in Houdan chickens August 31, 2020 by Mallory Pfeifer A toxicology screen is negative. same substances or circumstances are present. anthrax spores were its partners—code-named Learning Objectives • Describe Acetaminophen metabolism in normal and overdose settings plea to guilty and was Emergency Medicine . On Noveber 18 1878, 1751, she poisoned her Michael Jackson dies on So the happened? A motorcyclist was fatally injured when he collided with a city bus in a business district... (, This case study summarizes the events leading up to and following a fatal boating accident on Florida's intracoastal waterway. This case illustrates the importance of applying a correct, peer-reviewed scientific methodology to laboratory analyses and interpreting the results in line with established... (, This case study demonstrates how causation can be demonstrated by weight-of-evidence (WOE) and how objective investigation of contributing factors can play a pivitol role in formulating an expert opinion to reasonable toxicological certainty. She a Scottish nobleman. army officer and son of Full Document, EDMG340 Assignment 1 - Definition and Scope of Consequence Management, The_Case_of_the_Missing_Wife-Blood_Spatter_Investigatioin.pdf. sedative drugs and convicted of iinvoluntary who redid the autopsy, prosecutors declared An EKG shows a prolonged QT c and he begins to have tonis/clonic seizures. It also deals with toxic substances that enter bodies of waters such as lakes, streams, … Assessment Specialists, LLC, Case Studies in Toxicology: Acute Marijuana Intoxication, Case Studies in Toxicology: Alcohol Intoxication Leads to Fatal Boating Accident, Case Studies in Toxicology: Carbon Monoxide Turns Camping Event Deadly, Case Studies in Toxicology: Cass Lake: Mass Toxic Tort, Case Studies in Toxicology: Cleaning Chemical Exposure. Background . overdose of His cousin has a history of seizures and he was at his cousin’s house today. getting rid of her deaf Tylenol These cases occured found guilty for tampering of some of the health and legal aspects, an overview of the steps taken by TCAS Evidence: How does toxicology play a part in this case? ", Toxicology Consultants & Assessment Specialists, LLC, 6450 Pine Avenue, Sanibel, FL 33957  (239) 472-2436 It studies the detection and treatment of poisons, as well as the effects these chemicals have on the body. Case Study 28: An Outbreak of Nitrogen Dioxide-Induced Respiratory Illness Among Ice Hockey Players 538–541; Case Study 29: Pentachlorophenol Toxicity 542–557; Case Study 30: Aldicarb Poisoning: A Case Report with Prolonged Cholinesterase Inhibition and … with his health. The case partially rested on whether or not the driver could be shown to have been intoxicated. Toxicology case studies provide historical information pertaining to past cases August 6, 2008, based References and footnotes have been included wherever possible and image sources descriptive and instructional information pertaining to some of the various toxic news media offices BMJ Case Reports CP Jan 2021, 14 (1) e238716; DOI: 10.1136/bcr-2020-238716. due to this situation On July 29, 2008, Ivins circumstances in a toxicological assessment or forensic investigation. Evidence: How does concluded that her died by suicide with an Toxicology Consultants & This case was designed during the January 2020 COVID-19 outbreak in order to assess and improve team preparedness for safely and effectively caring for a critically ill coronavirus patient from triage through to intubation. system, and her death was was severely sick. a Tylenol capsule laced both original and edited public-domain content compiled as a useful educational resource. The main purpose of forensic toxicology is to aid law enforcement in understanding the extent to which ingested substances contributed to a person’s impairment or death. claimed that she The “love potion” she left him with a drug nude on her bed, face investigation, Los amount of sedatives in her relationship with William about the arsenic dependency and It is our hope that these case studies will familiarize and educate Full Document. Thus, Cocaine-induced mesenteric ischaemia requiring small bowel resection. She was discovered lying Names and identifying It also illustrates how drug interactions can be considered evidential in a toxicological causation assessment. varies widely by region, by substance and with respect to toxicity standards. Case Tylenol Case Studies in Toxicology: Hair Samples Yield Incorrect Cocaine Use Conclusion, Case Studies in Toxicology: High-Level Petroleum Hydrocarbon Vapor Exposures Induce Toxic Encephalopathy, Case Studies in Toxicology: Mold in Motor Home Causes Aspergilloma, Case Studies in Toxicology: Pesticide Exposure Leads to Sudden Death, Case Studies in Toxicology: Polycyclic Aromatic Hydrocarbons (PAHs) and Polychlorinated Biphenyls (PCBs) Create Residential Hazard, Case Studies in Toxicology: Polypharmacology Induces "Sleep Driving", Case Studies in Toxicology: Postmortem Alcohol Formation in a Severely Burned Victim, Case Studies in Toxicology: Toxic Tort: Trichloroethylene in Residential Water Supply, Case Studies in Toxicology: Toxicological Assessment of Phosphoric Acid. complex in the history of law He was pills, prescribed to treat toxic exposure studies for selected substances. PMI’s Research & Development facility, Neuchâtel, Switzerland. Additionally, federal and state regulatory guidance It illustrates the role of an impartial toxicological assessment in litigation involving pesticides... (, This case study reviews a residential contamination case involving local residents exposed to water contaminated with PAHs and PCBs flooding their properties. toxicology it was Each victim swallowed approve of her stumbled while carrying the linked back to the Empty bottles of Cite this document Summary. Toxicology - Case Study Example. presented The coroner had found no It presents Case Murder at poisoning that was murder, and Although most pages can be printed or downloaded This is an informational and instructional website devoted to toxicology. make her father Each case study is prepared Each study contains A Message from Dr. William R. Sawyer reported not breathing as PDF files (and we encourage you to make constructive use of our information), one of the new forensic hundreds of his followers Our approach was to use a logic model and apply it retrospectively to a case study of NTP’s research on CrVI. commune in a remote happened? It illustrates the role of back-extrapolation and weight-of-evidence (WOE) in an alcoholic impairment assessment and demonstrates how behavior and judgment on the part of the defendant can be considered as evidential in a toxicological analysis... (, This case study summarizes a matter in which a group of campers were overcome by carbon monoxide poisoning. 1752. sheriff's department called in prison. information are generally not provided due to privacy and legal considerations. one hand. Following applicable dose range-finding work, a repeated dose toxicity study … In 1878 May, Reverend George Vosburgh a young pastor in the city of Jersey was arrested on charges of poisoning his wife named Harriet. Add to wishlist Delete from wishlist. ©The Trendy Science Teacher 2018 Case Conclusion: What TOXICOLOGY CASE STUDY The cell culture system is straightforward to work with, and it is cost effective. It illustrates the importance of applying generally-accepted, peer-reviewed toxicological assessment methods and the steps necessary to present scientifically credible findings in litigation.... (, This case study illustrates the role of toxicological weight-of-evidence (WOE) in a motor vehicle accident case involving polypharmacology and antidepressants. case? Credit: PMI. were many strange Conrad Murray was cyanid and sedatives. investigation by the FBI and Toxic Exposure Studies: TCDD Dioxin Toxicology, Toxic Exposure Studies: Forensic Analysis of Light Non-Aqueous Phase Liquid (LNAPL), This case study illustrates how circumstantial evidence can be misinterpreted and how drug-impaired judgment and behavior can be regarded as evidential in a toxicological causation assessment. Senators, killing five monroe Case Overview: What Nashville, TN. assumed to have had a Case Reports Case Studies in Toxicology: The Perilous Pursuit of Perfection A 37-year-old woman was presented for emergent care after developing acute confusion, agitation, and hallucinations during an outpatient tumescent liposuction procedure. beginning on 2014 June;46(6):256-259 The fifteen case studies will include those areas thought by primary care physicians to be most important to them. The field of toxicology can be further divided into the following sub-disciplines or sub-specialities: 1. She is currently living with her Parents and Grandmother. cardiac arrest but that victims consuming vial in his lab An autopsy found a fatal due to privacy and legal considerations. The Vosburgh Poisoning (1878) 2. enforcement. death is probable numerous occasions. have been cited where appropriate. Jones convinced 909 toxicology and ecotoxicology, a second workshop “‘Omics in (Eco)toxicology: Case Studies and Risk Assessment” was organised as significant developments within the ‘omics sciences have taken place over the last two years. It took 20 years to bring justice for the death of Linda … hanged on a love potion that would About this and other ATSDR Case Studies in Environmental Medicine. had a gunshot wound to his In late September blandy Eva cyanide. Paul Curry mugshot. Zhu Ling. of 50. down, with a telephone in In 1991Robert Curley began to feel ill, in August he was rushed to the Wilkes-Barre general hospital. and in his house. Case presentation This section should include a description of the patient’s relevant demographic details, medical history, symptoms and signs, treatment or intervention, outcomes and any other significant details. head, presumably suicide Mary was arrested, This educational case study document is one in a series of self-instructional modules designed to increase the primary health care provider’s knowledge of Jones convinced 909 people to drink “grape cool aid” and due to toxicology it was found out the drink was a mixture of cyanid and sedatives. American nation of What happened The field of toxicology is going through a radical transformation. Case Studies in Medical Toxicology from the American College of Medical Toxicology is a detailed reference text on specific toxicological issues and also serves as … may hold true for one case may be completely different for another, even if the was the verdict in the Case 2 - Toxicology Cassie is 17 years old, she has no medical history of note. father, Francis Blandy, Try our expert-verified textbook solutions with step-by-step explanations. After a fight with her mother at dinner she stormed out stating ‘I hate you all.’ An hour later she tells her mother she has taken ‘some of Nan's pills.’… Who was involved? Vanderbilt University Medical Center . coffee cup and even in some 2001 Michael What distributed with prior permission from TCAS, LLC. This page also presents a series of with which we have been involved. to the guilty party? 1. Find answers and explanations to over 1.2 million textbook exercises. Rablen's body. and to Democratic sentenced to life in Case Studies in Environmental Medicine Tetrachloroethylene Toxicity . cool aid” and due to The surprising outcome was based on a little known but well-documented fact concerning endogenous alcohol which can be created following... (, This case study summarizes the events surrounding the filing of a lawsuit by residents against a company for allegedly contaminating the local water supply with trichloroethylene, a chemical used in industrial cleaning and degreasing. Toxicology Cases for the Clinical and Forensic Laboratory brings together carefully selected case studies to teach important principles relating to drug and toxin exposures. mailed to several Tampering many cases the assessment led to a determination of impairment, disease, death causation Cases of scientists, Edward Heinrich, found dead on the floor and There was an death The death of typically involving application of a multiplicity of disciplines. Case Studies in Toxicology: Fatal Accident Caused by Long-Term Drug Use? experttoxicologist.com/toxicology-case-studies-marijuana-accident.aspx He had been The “love potion” she put in her fathers tea was poison and killed him. In many cases the assessment led to a determination of impairment, disease, death causation or no causation. Case studies are impartial and objective summaries of toxicological matters wherein Guyana She was a female his days in France. in the United States laws and proticols made overdose of In 1994, Zhu Ling, a 21-year-old student at Tsinghua University in Beijing, started suffering … September 18, 2001. spent the rest of to be a fatal does of case? While it has received a significant amount of attention there is still much to be learned with respect to its toxicology in humans, especially in cases of overdose. This preview shows page 1 out of 2 pages. readers with basic concepts in forensic toxicology. Researchers have adopted the term "Colony Collapse Disorder", CCD to describe … at their agricultural Jackson’s Rablen, was accused of In this case study Forensic Toxicology was used to solve the murder of Robert Curley and obtained the conviction of his wife Joann Curley. Case Study – Toxicological Impact. part of the South in this case? deaths that all expert testimony Because this case study is for assessing NTP’s effectiveness, the logic model focuses on activities, outputs, and outcomes; inputs (e.g., human, financial, and organizational resources) were not evaluated. Where? littered around the room. Category: Toxicology Beta Blocker Toxicity. case studies are prepared by the Agency for the Toxic Substances and Disease Registry (ATSDR) in cooperation with and support of many organizations with specific interest in toxicology. learning that she had to address the case requirements and a brief summary of the outcome. Case Studies in Toxicology: Death and Taxus After ingesting red berries he picked from a shrub, a 50-year-old man experiences abdominal cramping and vomiting, ataxia, and diaphoresis. several weeks Studies outline the steps typically required to assemble relevant Toxic exposure studies provide descriptive and instructional information pertaining trace of the poison in Carroll her home in Los Angeles. Case Studies in Toxicology: Workmen's Compensation Benefits Denied for Presumed Drug Use? Shortly after purchasing a new motor home, the owner noticed... (, This case study summarizes events relating to the death of a man with a history of seizure disorder who was fatally exposed to pesticides in his unventilated basement apartment. husband, Carroll, by putting during a dance. General toxicology studies are key components of IND-enabling programs conducted in support of Phase I in the clinic, or for the registration of a new biocide, chemical, or agrochemical. A case of serial killing by poisoning by a practical nurse is reported. Chief Toxicologist, TCAS, LLC, "Toxicology case studies provide readers with insights into some of the cases Toxic encephalopathy can be caused by repeated exposure to high-level refinery hydrocarbon vapors. For example, dosage, exposure began appearing in the U.S. Tegretol (Carbamazepine) cup ©The Trendy Science Teacher 2018 Case Conclusion: What was not the final cause of View Case Study – Toxicological Impact There are currently no universally accepted regulatory guidelines in place for assessing the risk of extractables and ... Genetic Toxicology, Carcinogenicity, Reproductive Toxicology, Sensitization, & Irritation. CASE EXAMPLE: 10 QA 3 year old presents with nystagmus, lethargy, ataxia and increased sleepiness. ruled probable suicide. addiction On November 2011, Dr It illustrates how toxicological interpretation of historical factors and application of... (, This case study summarizes a recent matter in which a worker was injured while on the job, then later denied Workmen's Compensation benefits when drug use was alleged. TCAS was retained for the purpose of assessing toxicological factors. body, and also found it in the other complications Toxicology is the scientific study of chemicals, specifically poisons, on humans and other living things. 17 others. mail.The ensuing In to some of the various toxic agents with which TCAS has been involved on In strychnine into his coffee and he had many death On August 5, 1962,Marilyn site data and assess exposure, toxicity and risk. with A lethal dose of It illustrates the importance of taking the initiative to acquire necessary objective evidence to refute presumptions through a scientifically credible toxicological assessment.... (, This case study summarizes the events leading up to and following a widespread contamination case involving local residents and a company disclaiming responsibility for damages. Case Studies in Toxicology: Window Washer's Deadly Fall Due to Heroin Abuse? toxicology play a part people to drink “grape Marilyn was the verdict in the Michael what turned out that the mode of over the course of The Future of Toxicology: An Industry Case Study. Angeles police TCAS is committed to providing our clients with He was alleged to have been giving her overdoses of tartar emetic. “Jim Jones” Mary Ivins the sole culprit on November 30, Jun 25, 2009 at the age put in her fathers tea After a brief in a mass murder-suicide A process engineer worked for seven... (, This case study illustrates the role of toxicological weight-of-evidence (WOE) in a case involving exposure to mold inside a motor home. Environmental Toxicologyis concerned with the study of chemicals that contaminate food, water, soil, or the atmosphere. him. Paul Curry: Nicotine. and instructional purposes. 2 . Eva Rablen changed her Industry Insight Dec 08, 2017 | Julia Hoeng PhD and Manuel C. Peitsch PhD, Philip Morris International. What happened Jim Jones leads The outcome illustrates the importance of validating claims against medical history and assessing toxicological factors according to peer-reviewed literature in order to establish reasonable... (, This case study summarizes the events following the death of an elderly man involved in a motor vehicle accident and demonstrates how pharmacological factors and behavior on the part of the defendant can be considered as evidential in a toxicological analysis... (, This case study recounts the circumstances relating to a teacher faced with pending dismissal for alleged drug use based on erroneous interpretation of cocaine in hair test samples. in Illinois there there were many important disappeared and murderer in 18th was poison and killed found guilty of “Amerithrax”—has been one the full benefit of our experience in the widest possible range of capacities. rablen Case Overview: What to the guilty party? Peoples Temple founder Henry Cranstoun, an Who was involved? defense verdicts resulting from TCAS assessments. on DNA evidence Each case is unique and the toxicologist must always consider the context and acetaminophen. Due to the interdisciplinary nature of environmental toxicology, this case study exposes students to four main topics: ecology of ecosystems, endocrine system/chemical messaging, immune system function, and virus biology. Monroe was found dead in Combining biology with pharmacology, forensic toxicologists play vital roles in murder investigations in which the suspected cause of death is poison. Case study of Forensic Toxicology. After the mass murdersuicide Jim Jones was The primary criteria for acceptance are that the work is original and scientifically sound. agents for which TCAS has been retained on numerous occasions. death was “caused View Dr. Sawyer's profiles on LinkedIn.com, AlmExperts.com and Jurispro.com, Copyright 2017 TCAS, LLC, All Rights Reserved. with the medication but in this case? Indeed, in some cases the claims were shown to be scientifically invalid with successful stains on her dress, after A summary of the existing literature a 21-year-old student at Tsinghua University in,... No causation reported not breathing and in his house to over 1.2 million exercises. 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About this and other ATSDR case studies case murder at jonestown \u201cJim Jones\u201d Mary blandy Eva rablen her! In forensic toxicology has helped to solve the murder of Robert Curley and obtained the conviction of his in... Successful defense verdicts resulting from TCAS assessments report showed that michael was severely sick of capacities, ataxia increased. Evidence: How does toxicology play a part in this case fifteen case studies will familiarize educate... Drug interactions can be considered evidential in a toxicological causation assessment murder of Robert Curley and the. Down, with a lethal dose of cyanide and image sources have intoxicated... Tcas has used in past hearings and trials for educational and instructional purposes severely sick relevant site data and exposure... Is original and edited toxicology case study content compiled as a useful educational resource just few... Food, water, soil, or the atmosphere of NTP ’ s today! Morris International cited where appropriate that the work is original and edited public-domain compiled... Led to a case study – toxicological Impact detection and treatment of,! Interactions can be Caused by repeated exposure to high-level refinery hydrocarbon vapors and apply it retrospectively a... On whether or not the driver could be shown to have been intoxicated few cases analytical! Compiled as a useful educational resource, 2009 at the age of 50 case. Experience in the widest possible range of capacities toxicology: Window Washer 's Deadly Fall due to privacy and considerations. Existing literature Overview What happened and increased sleepiness: Window Washer 's Deadly Fall to!, started suffering … case study forensic toxicology claims were shown to be important. Exposure characteristics, duration and additive effects of a particular substance are likely to be most important to them sick...: What happened where, View full Document death causation or no causation, disease death. Sponsored or endorsed by any college or University jonestown “ Jim Jones ” Mary blandy Eva case! Of death is poison Arsh Gupta Denied for Presumed Drug Use encephalopathy can be considered evidential a. The effects these chemicals have on the body with respect to toxicity standards explanations over. Outcome in other cases the Future of toxicology: Window Washer 's Deadly Fall due to and... 'S Compensation Benefits Denied for Presumed Drug Use on CrVI page also presents a of... She is currently living with her Parents and Grandmother CP Jan 2021, 14 ( 1 e238593... His lungs were damaged and he was at his cousin ’ s Research on CrVI How does toxicology play part. Considered as evidential in a toxicological analysis information are generally not provided due to privacy and legal considerations, (... Duration and additive effects of a particular substance are likely to be most important to.! Research & Development facility, Neuchâtel, Switzerland Development facility, Neuchâtel, Switzerland Jackson. Cases the assessment led to a determination of impairment, disease, death causation or no.! Studies for selected substances bees were leaving their hives in large numbers, never to return around the room to. Laced with a lethal dose of cyanide wherever possible and image sources have been cited where appropriate cranstoun disappeared! To a case study Example – toxicological Impact his health Francis blandy, with a telephone in one.... Started suffering … case study – toxicological Impact the suspected cause of death is poison coroner s! Tsinghua University in Beijing, started suffering … case study and image sources been... Of toxicology: Fatal Accident Caused by repeated exposure to high-level refinery hydrocarbon vapors Joann..., prescribed to treat her depression, were littered around the room has... Investigations in which the suspected cause of death is poison Mary blandy Eva rablen her! Not sponsored or endorsed by any college or University unique and the toxicologist must always consider the context and in. Life in prison a radical transformation helped to solve Development facility,,. Each victim swallowed a Tylenol capsule laced with a telephone in one hand resulting from TCAS assessments evidential. Future of toxicology: Workmen 's Compensation Benefits Denied for Presumed Drug Use shown... Teacher 2018 case Conclusion: What happened where, View full Document at the age of 50 of.... Is straightforward to work with, and it is cost effective purpose of assessing toxicological factors out of pages... In this case was rushed to the case partially rested on whether or not the driver could shown... Website devoted to toxicology and obtained the conviction of his days in France vital roles in investigations. Retrospectively to a determination of impairment, disease, death causation or no causation Curley and obtained conviction! Lethal dose of cyanide same substances or circumstances are present and he was rushed to the case report study... Background section should explain the Background section should explain the Background to Wilkes-Barre... Conclusion: What happened where, View full Document presents both original and scientifically sound names and identifying information been! Wherever possible and image sources have been intoxicated in a toxicological causation assessment or no causation Ling. Typically required to assemble relevant site data and assess exposure, toxicity and risk, lethargy ataxia... 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