Gastric lavage is contraindicated in all the following poisonings except:-
**Core Concept**
Gastric lavage is a procedure used to remove substances from the stomach, but it is contraindicated in certain situations due to potential complications or ineffectiveness. The decision to perform gastric lavage depends on the type and severity of poisoning, as well as the time elapsed since ingestion.
**Why the Correct Answer is Right**
To determine the correct answer, we need to consider the indications and contraindications of gastric lavage. Gastric lavage is generally contraindicated in poisonings where the substance is corrosive, such as hydrocarbons, alkalis, or strong acids, as it can cause further damage to the esophagus and stomach. It is also contraindicated in poisonings where the substance is not easily removed from the stomach, such as with certain types of pills or sustained-release medications. However, in some cases, gastric lavage may be indicated, such as in poisoning with substances that are not absorbed quickly, such as iron or arsenic.
**Why Each Wrong Option is Incorrect**
**Option A:** This option is incorrect because hydrocarbon poisoning is a classic contraindication for gastric lavage due to the risk of aspiration and further damage to the lungs and airways.
**Option B:** This option is incorrect because poisoning with strong acids or alkalis is a contraindication for gastric lavage due to the risk of esophageal and gastric perforation.
**Option C:** This option is incorrect because poisoning with sustained-release medications is a contraindication for gastric lavage due to the risk of incomplete removal of the medication.
**Clinical Pearl / High-Yield Fact**
The American Academy of Clinical Toxicology recommends that gastric lavage be performed only in specific situations, such as in poisoning with substances that are not absorbed quickly, and that it should not be performed in cases of corrosive or sustained-release poisoning.
**Correct Answer: D.**