Clinical Review
A Toxic Fish Dinner
Emergency Medicine. 2011 October;43(10):20-22
Author and Disclosure Information
Lewis S. Nelson, MD (Series Editor), and 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 mother also reports light-headedness and perioral tingling. What is the differential diagnosis for these signs and symptoms, and how should the patients be managed?