The source of a seizure can sometimes be tough to determine... This post evaluates sneaky triggers.
Acute liver failure is a difficult condition to manage, especially with the large number of potential etiologies. How can you optimize your management of these patients based on the best literature? This post from Tim Montrief provides you with key points in the evaluation and management of these patients.
A 62-year-old male brought in by EMS for altered mental status and complaints of visual disturbances. Per the EMS report, the patient had homemade moonshine found in his living room. The patient is confused and states his vision is globally diminished as if he were looking through a snowstorm. He al...
A 27-year-old female with a history of insulin-dependent diabetes presents to the ED on a Friday evening somnolent and disoriented. Her coworkers report she started slurring her speech and became increasingly altered after they met at a bar after work. Exam reveals a diaphoretic, obtunded female n...
Cute as a button? I think not. Here is the low-down on button battery ingestions.
What do you need to know about psychiatric medications, and where do we fail as clinicians?
Learn the knowledge of toxic alcohol poisoning recognition, clinical and lab clues, limitations of the osmolar gap, goals of management, time sensitive treatments and more…
A 37-year-old male presents with altered mental status. He has a history of recurrent alcohol intoxication, and his wife found him on the couch after he was working in the garage. She is concerned because he seems to be much more intoxicated than is usual. She also found spilled containers of antifreeze in the garage. What could be going on with this patient? Is he just intoxicated?
