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1. Summarize the history.
2. What type of fluid does the toxicology test?
3. Interpret the toxicology test. Would you make any changes or advisements to the patient as their clinician?
4. What is a differential diagnosis for why this patient might have died?
5. Inventory the physical findings and correlate with the history.
6. Come back to the premortem toxicology after studying the case. There is postmortem toxicology. Is there any correlation between the premortem and postmortem testing? Would you expect there to be? When is premortem toxicology helpful in assessing postmortem toxicology? What types of fluids can be tested for toxicology? How do they correlate? What other perimortem lab tests might be helpful in this patient?