Article
An Inappropriate Snack
- Author:
- Lewis S. Nelson, MD (Series Editor)
- Payal Sud, MD
A woman develops extreme gastrointestinal distress 6 hours after eating “seeds” from a plant outside her home. What are the seeds, and how should...
Article
Tres Pasitos: "Three Little Steps" to Aldicarb Poisoning
- Author:
- Lewis S. Nelson, MD (Series Editor)
- Betty Chen, MD
A 13-year-old girl presents with profound gastrointestinal hyperactivity after drinking a beverage the previous night. What is the toxicologic...
Article
Diffuse Muscle Weakness: The Toxicologist's Approach
- Author:
- Lewis S. Nelson, MD (Series Editor)
- Colleen Rivers, MD
A woman cannot walk and has weakness and dyspnea. While there are numerous potential etiologies, certain elements of her history and workup are...
Article
Toxicologic Hyperthermia
- Author:
- Lewis S. Nelson, MD (Series Editor)
- Betty Chen, MD
- Susi U. Vassallo, MD, FACEP, FACMT
A man with an extremely elevated body temperature and a history of cocaine use is unresponsive and tachycardic. The differential diagnosis,...
Article
A Toxic Fish Dinner
- Author:
- Lewis S. Nelson, MD (Series Editor)
- Zhanna Livshits, MD
A woman and her daughter present to the ED with gastrointestinal symptoms, hypotension, and bradycardia. Both have eaten the same fish dinner. The...
Article
Rapid Toxicologic Collapse
- Author:
- Lewis S. Nelson, MD (Series Editor)
- Zhanna Livshits, MD
A man injects his girlfriend with a liquid and swallows the same substance himself. Both die soon after. What is the toxin, and what measures...
Article
Measuring Blood Ethanol: Can It Lead You Astray? (Maybe)
- Author:
- Lewis S. Nelson, MD (Series Editor)
- Colleen Birmingham, MD
Article
Buyer Beware: Exotic Snakebite
- Author:
- Lewis S. Nelson, MD (Series Editor)
- Colleen Birmingham, MD
- Samuel Ayala, MD
- Michael Touger, MD
A man is unresponsive several hours after being bitten by a cobra. The authors give an overview of venomous snake classification, discuss...
Article
A Toxic Swimming Pool Hazard
- Author:
- Lewis S. Nelson, MD (Series Editor)
- Rachel Weiselberg, MD
A 3-year-old boy presents with severe pulmonary injury after inhaling chlorine gas. Details of his case and the clinical effects of chlorine...
Article
Synthetic Cannabinoids: The Newest, Almost Illicit Drug of Abuse
- Author:
- Lewis S. Nelson, MD (Series Editor)
- Jeff Lapoint, DO
An otherwise healthy man has seizures after ingesting a synthetic cannabinoid. Case details and clinical effects of this substance and similar...
Article
Inhalation of Baby Powder
- Author:
- Lewis S. Nelson, MD (Series Editor)
- Fiona M. Garlich, MD
An 11-month boy inhales talcum powder and presents with acute pulmonary injury. Details of the case are discussed, along with symptoms,...
Article
Inadvertent IV Administration of IM Epinephrine
- Author:
- Lewis S. Nelson, MD (Series Editor)
- Fiona M. Garlich, MD
A 2-year-old girl is brought to the ED for treatment of anaphylaxis after eating a cashew. She is given IV epinephrine in a dose and concentration...
Article
Hydroxocobalamin for Suspected Cyanide Poisoning
- Author:
- Lewis S. Nelson, MD (Series Editor)
- Daniel M. Lugassy, MD
A man who was pulled from a building fire is treated empirically with HCO. The authors present details of the case, as well as implications and...
Article
Hypotension and Seizure in a Healthy Young Woman
- Author:
- Lewis S. Nelson, MD (Series Editor)
- Zhanna Livshits, MD
- Jason Chu, MD
A young woman is convulsing, unconscious, and unresponsive, and her ECG shows cardiotoxicity. What agent did she ingest, and how should her case...
Article
n-Butane Canister Foreign Body
- Author:
- Lewis S. Nelson, MD (Series Editor)
- Stephanie H. Hernandez, MD
- Anna E. Ringwelski, MD
A man presents to the ED when he is unable to remove an intentionally placed butane canister from his rectum. He says he can taste and smell the...