Written by Alex Brevil A 52 y/o woman w/ fibromyalgia is found alone in her room in a confused state by her maid. She recently lost all of her retirement money and constantly “Blames Obama.” She is then rushed to…
Tox Craze
Tag: toxicology
Home Improvement’s Toxic and Never Bored, Review
Another busy day in the pediatric ED and Tim ‘The Tool-man’ Taylor brings in his 6yo boy who was complaining of abdominal and flank pain after drinking something in dad’s car garage. The boy said he “drank some of dad’s green garage…
Morning Report: 7/10/2015
Here’s Dr. Kincade with today’s Morning Report! ETOH Withdrawal Case: A 45yo M presents to the ED for EtOH detoxification. Drinks 1L of vodka daily. Last drink 18 hours prior. VS: HR:150 beats/min, BP: 172/84 mm Hg, diaphoretic and…
Morning Report: 7/7/2015
Thanks to Dr. Kopping for presenting today’s Morning Report! Digoxin Toxicity Digoxin falls under cardioactive steroids Fox glove, oleander, dried toad secretions Na/K ATPase inhibition Resting potential more positive, more likely to depolarize Increases inotropy by preventing Ca leaving…
Thought I was bored until I stopped drinking – Review
A 32 year old woman rolls into the ER on a quiet springtime afternoon – you are told that she had just had a tonic clonic seizure. She took a sabbatical after finishing her EM/IM residency and opened a moonshine…
Morning Report: 4/23/2015
Today’s Morning Report is presented by Dr. Adal! Organophosphate and Carbamate Poisoning Epidemiology: 200K fatalities worldwide every year DDx: Cholinesterase inhibitors, Cholinomimetics, Nicotine alkaloids Kinetics: Absorption via ingestion, inhalation or topical contact. Minutes to hours depending…
Morning Report: 4/21/2015
Thanks to Dr. Rolston-Cregler for today’s Morning Report! Ethylene Glycol Toxicity The Basics Toxic Alcohol with the chemical structure C2H6O2 Main ingredient in antifreeze Sweet taste often attracts children and animals Clinical Presentation Altered mental status Dyspnea…
Hypotension and Bradycardia in the Poisoned Patient: Calcium Channel Antagonists
The next topic in the case of a 23 year old female with an intentional, unknown overdose and subsequent hypotension and bradycardia is calcium channel antagonist (calcium channel blocker) poisoning. Calcium Channel Antagonists In contrast to β-adrenergic antagonists (BB),…