34 results
Toxic Alcohol Ingestion: Isopropyl Alcohol
General concepts for toxic alcohols:
• Parent compounds (not metabolites) cause high osmolal
Toxic Alcohol Ingestion ... not metabolites) cause ... lactic acidosis #Diagnosis ... #Management #Toxicology ... #Ingestion #ALiEM
Myelodysplastic Syndrome (MD) - Diagnosis and Management Summary
myelo (marrow) -dys- (abnormal) -plastic (shape) = funny-shaped cells
Myelodysplastic Syndrome ... old, ~10,000 new cases ... only curative treatment ... Myelodysplastic #Syndrome ... #Management #treatment
REBEL Review 99: Serotonin Syndrome via Yosuf Alam, MSIV

Presentation: Altered mentd status, Seizures, Myoclonus, Hypertension, Hyperthermia
99: Serotonin Syndrome ... Hyperthermia (most common cause ... Cornerstone of treatment ... SerotoninSyndrome #management ... #toxicology #REBELEM
Salicylate Toxicity - Diagnosis and Management

Consider if:
1) Patient is hot and altered
2) You see tachypnea with
no respiratory cause ... acute or chronic ingestion ... Aspirin #Toxicity #Toxicology ... #diagnosis #management ... #Treatment
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or ≥ 39 C this is a
Treatment depends ... maintained fever CAUSES ... neurotoxicity • Alcohol ... Anesthesia #Checklist #Diagnosis ... #Management #Workup
Toxic Alcohol Ingestion: Clinical Features, Diagnosis, and Management
Methanol intoxication:
 • Accidental or intentional ingestion of adulterated
Toxic Alcohol Ingestion ... , and Management ... #Ingestion #diagnosis ... #toxicology #comparison ... #treatment
Hantavirus
Pathogen: Hantavirus - Rodents are the primary reservoir
Transmission:
 • Shed in the urine, feces, saliva of
common route of infection ... Cardiopulmonary Syndrome ... +/- diarrhea Diagnosis ... • Autopsy PCR Treatment ... #management #treatment
Toxic Alcohol Ingestion: Methanol
Solvent found in cleaning and printing solutions, adhesives, stains, paint removers,
antifreeze agent in
Toxic Alcohol Ingestion ... gasoline additive Pharmacology ... , but does NOT cause ... osmolal gap #Diagnosis ... #Management #Toxicology
Hepatorenal Syndrome - Diagnosis and Management Summary
Who gets HRS?
 • Decompensated cirrhosis
 • Typically with existing
Hepatorenal Syndrome ... - Diagnosis and ... Management Summary ... : Medications, Alcohol ... #Management #treatment
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
Stevens-Johnson syndrome ... binge, Alcoholic ... after caustic ingestion ... Hospital of Baltimore IM ... #management #gastroenterology