Cardiology , Endocrinology , Toxicology

Euglycemic DKA and Hyponatremia Caused by a Commonly Prescribed Diabetic Medication

8/10/2021 Aaron Tiffee, MD, FACEP , Daniel Stout, MD , Taylor Curry

SGLT-2 inhibits can cause massive osmotic diuresis and intravascular volume depletion. The body’s appropriate response to this is production of antidiuretic hormone, an excess of which is capable of c

Cardiology , Nephrology , Toxicology

BRASH Syndrome: A Vicious Cycle

8/10/2021 Emily Newton , Gabrielle Ransford, MD , Anjeza Cipi, MD

BRASH syndrome is an uncommon but often fatal condition in which an acute renal injury initiates a vicious cycle of bradycardia, hyperkalemia, hypotension and worsening renal failure in patients who t

Wilderness Medicine , Toxicology

Managing Envenomation: Be Prepared for Summertime Exposure

6/11/2021 Luke He, MD , John Michael Sherman, MD , Christopher Rajan, DO , Geoff Comp, DO, FAWM

Post-pandemic vacations are picking up steam - and outdoor getaways remain popular. Are you ready to handle bites, stings, and other envenomations?

Toxicology

Caustic Ingestions: Feel the Burn

4/8/2021 James Wang, MD , Neha Sehgal, DO , Susan Watts, PhD

Caustic ingestions cause either coagulative (acidic substance) or liquefactive (alkaline substance) necrosis. Management and treatment include observation, labs, imaging, endoscopy, and may require mo

Toxicology , Hematology

Bleeding Risk after NSAID Use

4/8/2021 Colton Beck , MAJ John Kiel, DO, MPH, CAQ-SM

NSAIDs are the most commonly used class of drugs in the world. They possess analgesic, antipyretic, and anti-inflammatory properties. Its GI side effects are most apparent and well-documented and can

48-2 Hemopericardium - cxr-supine-ap Fig 1.jpg

Cardiology , Hematology , Toxicology

Sudden Post-Coital Hemopericardium with Cardiac Tamponade on Apixaban

4/8/2021 Hardeep Hunjan, DO , Tiffany Anaebere, MD

Direct oral anticoagulants (DOACs) have become the preferred anticoagulant medication for patients with nonvalvular atrial fibrillation, deep vein thrombosis, and pulmonary embolism. However, recent c

Toxicology , Medications

Strong Enough for a Giraffe, But Made for a Human: Alpha 2-adrenergic Agonist Overdose

10/9/2020 Scott H. Witt, MD , Erich Burton, DO

Recognizing alpha 2-agonist overdose and distinguishing it from other etiologies of bradycardia and hypotension is critically important.

Cardiology , Toxicology , Medications

Acute Hyperkalemia Masking Flecainide and Metoprolol Toxicity

10/9/2020 Matthew Baltz, MD , Jeremy Berberian, MD

Antidysrhythmic drugs are broadly categorized into Vaughan-Williams classifications, and their effects should be carefully noted.

Toxicology , Pulmonary , Pediatric EM

Dank Vapes: A Tale of a Pediatric E-cigarette Vaping Associated Lung Injury

8/17/2020 Kellan Etter , Brian Kelley , Scott Sutton, MD

Lung injuries associated with electronic cigarettes (aka vaping) are on the rise, especially among teens. With a higher risk of addiction and weaker regulations, vaping can be cause for concern.

Toxicology , COVID-19

COVID or Coral? A Case Report

8/17/2020 Louisa Mazza-Hilway, MD

With the wide-ranging presentations seen among COVID-19 patients, it can be easy to miss other conditions.

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