It’s part 2 of “Name that Poisonous Beast!”. Here we go! Name this poisonous beast! A) And his slithery friend… B) And what about this guy? C)
This week’s pearls is a series on “Name that Poisonous Beast!”. So, let’s start. Name this poisonous beast: A) And its 8-legged colleague: B)
Case: 32-year-old male brought in by EMS for altered mental status, breathing six breaths per minute. You suspect opioid overdose, what clues you in to the culprit? 1) ECG shows prolonged QTC –> 2) ECG shows widened QRS –>…
24 y/o male working at the local aquarium presents with right hand redness, pain, and swelling after handling an exotic fish. He is able to snap a picture of the fish before presenting to the ED. What’s your diagnosis?
48 y/o M presents after dredging for clams off the coast of Long Island. He reports finding a metallic object in his net, then throwing it overboard. Over the next two hours he develops the following…. What’s the diagnosis?
@JoePinero – Cannabinoid hyperemesis syndrome (CHS) is a rare diagnosis to make but can save a lot of time and frustration if you can make it. It is typically seen in young males who are frequent users of marijuana, presenting with se…
What lead level in blood requires chelation therapy?
Tox Tuesday Patient is 42 yo M with PMH of chronic back pain (follows in pain clinic), depression BIBEMS found after wife found him with an apparent overdose attempt with an empty bottle of Tramadol next to him, last seen in USOH 4 hr prio…
A group of employees present from the billing office complaining of headache and dizziness. Because it’s been so cold recently, one of them brought in a space heater to keep under her desk. What are you concerned about? How would you…
A 58 y/o M presents to the ED with altered mental status. He smells of alcohol, appears drunk, and has a longstanding history of alcohol abuse. You obtain a serum alcohol level of 100. Further laboratory work up shows a pH 7.28 with CO2 53,…
1. A 14 month old child is brought into the ED for fevers, vomiting, diarrhea x 4 days. Stools are watery and nonbloody. The infant appears nontoxic and well hydrated. The patient attends day care. What is the most likely diagnosis? a) Camp…
A psych patient with abdominal tenderness and distention has the following abdominal film. Which drugs are radiopaque on xray?
An upset mother arrives in the Peds ED saying that her 2 yo son swallowed one of her “pressure pills.” Which antihypertensives can be single dose killers for a young child?
A construction worker presents after spilling industrial cleaner on his hand while cleaning a brick building: What possible chemical exposure should you be concerned about? What is the treatment?
76 y M p/w chest pain after using cocaine. EKG is below. What medications should be avoided in this patient? This EKG demonstrates sinus bradycardia with ST elevation in leads II, III, aVf, v3, v4, v5 and v6, suggesting inferior wall MI. In…
