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    Lewis S. Nelson, MD

    Article

    Case Studies in Toxicology: Managing Missed Methadone

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

    After experiencing a fall, a 53-year-old woman with a history of intravenous drug use was referred by her methadone clinic for evaluation.

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    Article

    Mind the Gap

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

    • Read More

    Article

    Case Studies in Toxicology: When Doing More for the Sake of Better Health Goes Wrong

    Author:
    Denise Fernandez, MD
    Lewis S. Nelson, MD

    A 62-year-old man with a history of hypercholesterolemia and HIV infection presented for evaluation of diffuse myalgia and tea-colored urine.

    • Read More

    Article

    Case Studies in Toxicology: Babies and Booze—Pediatric Considerations in the Management of Ethanol Intoxication

    Author:
    William J. Boroughf, DO
    Lewis S. Nelson, MD
    Fred M. Henretig, MD

    A 4-month-old is presented for evaluation after her father claims to have inadvertently reconstituted the infant’s formula with rum.

    • Read More

    Article

    Mind the Gap: Case Study in Toxicology

    Author:
    Daniel Repplinger, MD
    Lewis S. Nelson, MD
    • Read More

    Article

    Case Studies in Toxicology: Double Take—Is Re-exposure Necessary to Explain Delayed Recurrent Opioid Toxicity?

    Author:
    Adam Berman, MD
    Lewis S. Nelson, MD
    Nima Majlesi, DO

    A 10-month-old infant is presented for evaluation of extreme somnolence after her father inadvertently spills his prescription of opioid tablets...

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    Article

    Case Studies in Toxicology: You Can’t See Dragonfly or Hear NBOMe, but They Can Still Hurt You

    Author:
    Michael R. Waldrop
    Nicholas E. Nacca, MD
    Lewis S. Nelson, MD

    Through a detailed history, physical examination, emergent consultation, and imaging studies, the authors confirm metastatic spinal cord...

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    Article

    Case Studies in Toxicology: An Amazonian Herb Goes Mainstream

    Author:
    Laura Fil, DO
    Lewis S. Nelson, MD

    A 23-year-old Hispanic woman with an unremarkable medical history develops seizures after taking an herbal remedy recommended by a naturopath.

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    Article

    Case Studies in Toxicology: Sippin’ on Some “Sizzurp”

    Author:
    Larissa Laskowski, DO
    Lewis S. Nelson, MD

    A 19-year-old man was found unresponsive by his girlfriend after ingesting a combination of soda, codeine/promethazine hydrochloride cough syrup,...

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    Article

    Case Studies in Toxicology: A Common Procedure, an Uncommon Complication

    Author:
    Vince Nguyen, MD
    Lewis S. Nelson, MD

    A 35-year-old woman becomes diaphoretic and tachycardic in the postanesthesia care unit after undergoing elective hysteroscopic myomectomy to...

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    Article

    Case Studies in Toxicology: Hot as a Hare and Red as a Beet

    Author:
    Scott Lucyk, MD
    Lewis S. Nelson, MD
    • Read More

    Article

    Case Studies in Toxicology: A Patchwork of Problems in Parkinson Patients

    Author:
    Larissa Laskowski, DO
    Lewis S. Nelson, MD

    A 76-year-old man with a history of Parkinson disease and hypertension presents with severe extremity weakness, muscle aches, tremulousness,...

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    Article

    Tiny Bubbles: Or, the Dangers of Cleaning Fruit

    Author:
    Scott Lucyk, MD
    Lewis S. Nelson, MD

    • Read More

    Article

    Case Studies in Toxicology: Tiny Bubbles (Or, the Dangers of Cleaning Your Fruit)

    Author:
    Scott Lucyk, MD
    Lewis S. Nelson, MD

    A 32-year-old man presents to the ED with mild throat pain, chest discomfort, and “abdominal fullness” after inadvertently ingesting concentrated...

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    Article

    Rats! A Toxic Ingestion in an Unattended Toddler

    Author:
    Lewis S. Nelson, MD

    A 2-year-old boy is discovered playing with a rodenticidal trap, from which he samples several pellets orally. The emergency physician finds him...

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