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Chemical Burns

Mind The Bleep

Alkali burns result in liquefaction necrosis, allowing for deeper tissue injury as well as vascular injury that can lead to both local and systemic toxicity [1]. National Poisons Information Service (0344 892 0111) and TOXBASE have useful information on special chemicals and are accessible 24/7.

Burns 52
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How Not To Miss Posterior Circulation Stroke

ACEP Now

3 Case 1: Posterior Stroke Presenting as Food Poisoning A 42-year-old man presents to the emergency department (ED) with sudden onset of severe vertigo, headache, nausea, and vomiting after eating Italian food. His neurological exam on arrival is documented as normal. The patient is anti-coagulated and does well. 1 Gait is key.

Stroke 40
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Popular Antiobesity Medications Bring New Challenges to Emergency Physicians

ACEP Now

4 It is believed that substantial gastrointestinal loss causes chloride and potassium depletion, as well as hypovolemia, acute kidney injury, and renal potassium loss. There have been documented cases of overdose, and of note, there is no known antidote. Patients may consequently present with vague symptoms of weakness and fatigue.

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Child Safety Seats for At-Risk Children

Pediatric Education

weeks was seen for well-care. No specific documentation regarding the duration of the car seat testing could be identified in the medical records. Bull MJ, Engle WA, The Committee on Injury and Poison Prevention and the Committee on Fetus and Newborn. The pertinent physical exam showed the patient was now 3.34 Pediatrics.

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Seizure in a 30 something

Dr. Smith's ECG Blog

Regarding my Systematic assessment of ECG #1: There is significant baseline artifact , as well as baseline wander. I therefore feel it relevant to document ( in your dictation/on the medical chart ) when significant artifact potentially impairs the accuracy of your interpretation. Smith's ECG Blog.

Seizures 113
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Case Report: Toxic Hypoglycemic Syndrome

ACEP Now

4 The association between ackee ingestion and the illness was initially recognized in 1875 and officially documented in 1904. 5 Despite being endemic to Jamaica, cases of THS have been reported across the world, with the first case in the United States documented in 1993. The rest of her workup was notable for hypokalemia of 3.3

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Toxicology Answer: Milkweed (Asclepias)

ACEP Now

5 Symptoms of milkweed poisoning may include abdominal discomfort, nausea, vomiting, diarrhea, weakness, lethargy, and confusion, progressing to seizures, heart rhythm changes, and bradycardia. He was observed for several hours and eventually discharged with minimal intervention.