Human and Animal Bites

Jan 9, 2019 by in EMERGENCY MEDICINE Comments Off on Human and Animal Bites

HIGH-YIELD FACTS Print Section Listen Pasteurella species are common in dog and cat bite wound infections. Eikenella corrodens is a common pathogen in human bite wounds. Rabies and tetanus prophylaxis…

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Hydrocarbons

Jan 9, 2019 by in EMERGENCY MEDICINE Comments Off on Hydrocarbons

HIGH-YIELD FACTS Print Section Listen The primary concern after hydrocarbon ingestion is pulmonary toxicity. Viscosity, surface tension, and volatility are three important properties to assess the toxicity of liquid hydrocarbons….

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Organophosphates and Carbamates

Jan 9, 2019 by in EMERGENCY MEDICINE Comments Off on Organophosphates and Carbamates

HIGH-YIELD FACTS Print Section Listen Organophosphate and carbamate insecticides inactivate the enzyme acetylcholinesterase producing a cholinergic crisis, with the immediate threat to life being respiratory failure. The diagnosis of organophosphate…

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Recreational Substances

Jan 9, 2019 by in EMERGENCY MEDICINE Comments Off on Recreational Substances

HIGH-YIELD FACTS Print Section Listen Bidirectional nystagmus is a unique finding of phencyclidine and ketamine toxicity. Myocardial ischemia and cerebral vascular accidents are potential significant morbidities of cocaine toxicity. There…

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Plants and Mushrooms

Jan 9, 2019 by in EMERGENCY MEDICINE Comments Off on Plants and Mushrooms

HIGH-YIELD FACTS Print Section Listen The vast majority of plant exposures are unintentional, involve small quantities, and the patients are typically asymptomatic. Gastrointestinal upset is the most common manifestation of…

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Alkalis and Acids

Jan 9, 2019 by in EMERGENCY MEDICINE Comments Off on Alkalis and Acids

HIGH-YIELD FACTS Print Section Listen Asymptomatic children with a history of alkali or acid ingestion should be observed for a few hours and may be discharged from the emergency department…

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Isoniazid

Jan 9, 2019 by in EMERGENCY MEDICINE Comments Off on Isoniazid

HIGH-YIELD FACTS Print Section Listen Isoniazid (INH) toxicity should be considered in any patient with metabolic acidosis and seizures refractory to conventional therapy. Altered sensorium, slurred speech, ataxia, coma, and…

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Alcohols

Jan 9, 2019 by in EMERGENCY MEDICINE Comments Off on Alcohols

HIGH-YIELD FACTS Print Section Listen Ethanol overdose in children may result in altered mental status and hypoglycemia. Methanol poisoning is manifested by metabolic acidosis, visual disturbance, and potential multiorgan system…

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Oral Anti-Diabetic Agents

Jan 9, 2019 by in EMERGENCY MEDICINE Comments Off on Oral Anti-Diabetic Agents

HIGH-YIELD FACTS Print Section Listen Oral anti-diabetic drugs function by either increasing insulin secretion or by modulating blood glucose concentrations through a variety of mechanisms other than the increase of…

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