Toxcard: Shellfish Poisoning
What do you need to know about shellfish poisoning?
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Toxicology
ToxCard: Thyroid Hormone Overdose
This week’s ToxCard covers thyroid hormone overdose!
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EM@3AM: Serotonin Syndrome
A 40-year-old female with history of depression is brought in by EMS for agitation. On arrival she is confused and diaphoretic. Vitals include temperature of 40°C, BP 150/80, HR 120, and RR 28. Exam is remarkable for muscle rigidity, hyperreflexia, and clonus of the lower extremities. What is the next step in your evaluation and treatment?
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Seafood Poisoning and Toxidromes
How does the presentation and management of toxidromes associated with Scombroid, Ciguatera, and Pufferfish poisoning differ?
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EM@3AM: Methemoglobinemia
A 42-year-old female with a past medical history of iron deficiency anemia presents to the ED with a peritonsillar abscess. You give 2 benzocaine sprays and successfully aspirate the abscess. As she is waiting for her discharge paperwork, the nurse alerts you that her oxygen saturation is now in the mid-80s. Repeat vitals in the room are as follows: BP 102/78, HR 102, O2 85%, RR 24. She has perioral cyanosis that was not seen on your initial exam. What is the diagnosis and best next step?
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ToxCard: Paraquat Toxicity
Paraquat is a herbicide that is rapidly absorbed and undergoes redox-cycling with generation of ROS causing cellular dysfunction and death. Tolerate hypoxia and avoid oxygen as it can promote oxidative stress and causes further tissue damage.
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ToxCard: Chasing the Dragon
Chasing the Dragon refers to the practice of heroin inhalation by placing heroin in a small square of aluminum foil which is then heated from below. As the heroin melts it turns into a reddish-brown substance that may resemble a dragon’s tail. Inhaling heroin may induce toxic leukoencephalopathy, which has no proven treatment and recovery, if any, is prolonged.
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ToxCard: Cotton Fever
What’s cotton fever and its mechanism of action? How should you manage a patient you suspect is suffering from cotton fever?
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ToxCard: Green Urine?
Diquat is a bipyridyl compound used as an herbicide and is a rare form of poisoning. Diagnosis is made by history and urine sodium dithionite test with green coloration (dose related color intensity) of the urine.
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