Browsing: Toxicology

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Don't Kid Around: SGLT-2 Inhibitors and the Risk for Euglycemic DKA A 62-year-old female presents with cough and generalized weakness for one day. She has no other symptoms and physical exam is unrem
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Weeding through the Effects of Marijuana Legalization Legalization of marijuana has become a heated topic in the United States as 8 states and Washington, D.C., have legalized it for recreational use
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Mad as a Hatter: Physostigmine for Delirium Control in Anticholinergic Toxicity A 34-year-old female with a history of bipolar disorder, depression, and multiple previous suicide attempts is brought
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Poisoned Pump: Management of Calcium Channel Blocker Toxicity A 46-year-old male with a history of hypertension presents after an intentional overdose of 500 mg of amlodipine 1 hour prior to arrival.
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The Danger of Weight Loss Supplements A 54-year-old male presents with a chief complaint of heat exhaustion. He is a truck driver who has been traveling across the country without air conditioning. P
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Gasping for Air: Albuterol-Induced Lactic Acidosis Pyruvate + NADH + H+  †” lactate + NAD+ Lactic acidosis is a commonly encountered phenomenon within the emergency department (ED). In the setting of
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Bupropion: Skinny Happy Drug or Toxicologic Menace? A 24-year-old woman with a history of bulimia and depression is brought to the emergency department by ambulance. The patient is agitated and unab
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How LOW Can You Go? Sulfonylurea-Induced Hypoglycemia A 66-year-old female with a past medical history of diabetes mellitus type two and dementia presents to your emergency department with hypoglycem
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5-Step Approach to Marine Envenomations When medical toxicologist Matthew Sztajnkrycer, MD, FACEP, was a second-year resident, he answered a truly strange telemetry call. EMS had arrived on scene of
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Emerging Drugs of Abuse A number of new synthetic drugs have penetrated the United States markets and our emergency departments over the past several years. Poison control centers have experienced an