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    Lewis S. Nelson, MD

    Opinion

    How safe is the blackout rage gallon drinking trend?

    Author:
    Robert D. Glatter, MD
    Lewis S. Nelson, MD
    Publish date: April 24, 2023

    Binge drinking is a huge problem in the United States in general, particularly with young people – teenagers and young adults.

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    Article

    Too Good to Last?

    Author:
    Lewis S. Nelson, MD
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    Article

    When the Poisoned Risk Poisoning Others: Fatal Sodium Azide Overdose

    Author:
    Marcin M. Ciesla
    Diane P. Calello, MD
    Lewis S. Nelson, MD

    A 24-year-old man arrived at the ED in cardiac arrest after intentionally ingesting sodium azide.

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    Article

    Case Studies in Toxicology: Start Low and Go Slow

    Author:
    Tiffany Chan, MD
    Lana Shaker, MD
    Lewis S. Nelson, MD

    A woman in her third decade with no known medical history was dropped off at the waiting area of the ED for evaluation of depressed mental status...

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    Article

    Case Studies in Toxicology: DILI Dally

    Author:
    Michael Ullo, MD
    Lewis S. Nelson, MD

    A 50-year-old Hispanic woman with a history of rheumatoid arthritis (RA), for which she was not currently taking medication, was referred to the...

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    Article

    Don’t Always Rush to Rally Renal

    Author:
    Anita Mudan, MD
    Lewis S. Nelson, MD

    An otherwise healthy 20-month-old boy presented to the ED for evaluation after his...

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    Article

    Case Studies in Toxicology: An Unlikely Cause of Paralysis

    Author:
    Kristen Wilkes, MD
    Gregory Sugalski, MD
    Lewis S. Nelson, MD

    A young man with a history of hypertension and hyperlipidemia presented for evaluation of severe bilateral weakness in the upper and lower...

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    Article

    Case Studies in Toxicology: Angioedema Post-tPA: Hemorrhage Is Not the Only Risk Factor

    Author:
    Rasheed A. Sanyaolu, MD
    Ilya Ostrovsky, MD
    Lewis S. Nelson, MD
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    Article

    Case Studies in Toxicology: Drink the Water, but Don’t Eat the Paint

    Author:
    Diane Calello, MD
    Lewis S. Nelson, MD
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    Article

    Opioid epidemic

    The New Opioid Epidemic: Prescriptions, Synthetics, and Street Drugs

    Author:
    Rama B. Rao, MD
    Lewis S. Nelson, MD

    Opioid users are turning to illicit, ultra-potent synthetic opioids, and those who overdose may not respond to typical doses of naloxone....

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    Article

    Case Studies in Toxicology: The Perils of Playing Catch-up

    Author:
    Virteeka Sinha, MD
    Lewis S. Nelson, MD

    While awaiting evaluation for gastric discomfort, a 16-year-old girl experienced a sudden onset of generalized seizure...

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    Article

    He Huffed and He Puffed and He Got Frostbite

    Author:
    William Eggleston, PharmD
    Lewis S. Nelson, MD
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    Article

    Case Studies In Toxicology: Withdrawal: Another Danger of Diversion

    Author:
    Daniel Repplinger, MD
    Lewis S. Nelson, MD

    While attending a methadone treatment program, a 34-year-old man with a history of polysubstance abuse experienced a witnessed seizure.

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    Article

    Case Studies in Toxicology: The Perilous Pursuit of Perfection

    Author:
    Elizabeth Quaal Hines, MD
    Lewis S. Nelson, MD

    A 37-year-old woman was brought to the ED after developing acute confusion, agitation, and hallucinations during an outpatient tumescent...

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    Article

    Case Studies in Toxicology: One Last Kick—Transverse Myelitis After an Overdose of Heroin via Insufflation

    Author:
    Angela Regina, DO
    Lewis S. Nelson, MD

    A 17-year-old adolescent girl with a history of depression and opioid dependency is found unresponsive by her father.

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