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.
Article
Mind the Gap
- Author:
- Daniel Repplinger, MD
- Lewis S. Nelson, MD
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.
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.
Article
Mind the Gap: Case Study in Toxicology
- Author:
- Daniel Repplinger, MD
- Lewis S. Nelson, MD
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...
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...
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.
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,...
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...
Article
Case Studies in Toxicology: Hot as a Hare and Red as a Beet
- Author:
- Scott Lucyk, MD
- Lewis S. Nelson, MD
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,...
Article
Tiny Bubbles: Or, the Dangers of Cleaning Fruit
- Author:
- Scott Lucyk, MD
- Lewis S. Nelson, MD
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...
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...