[toxnews] Toxicology Case Conference 8/11/22

[Christine Stork]

Upstate NY Poison Center

Toxicology Case Conference

August 11, 2022

Time: 1330-1530
Location
JH 5th Floor


Zoom: https://urldefense.com/v3/__https://upstate.zoom.us/j/94022814635?pwd=ZXdZOFN3OFMrN1FjWlhOTGRid3YyUT09__;!!GobTDDpD7A!KhwuEjIE_zs4OD6W1lD4f4iNNgth3PjX-v6R--AovwUNT8YtwgghrbkUgVNvs0TvNbblkBv6qJwETiIii5LMnrpb$ 

https://urldefense.com/v3/__https://upstate.zoom.us/j/94022814635?pwd=ZXdZOFN3OFMrN1FjWlhOTGRid3YyUT09__;!!GobTDDpD7A!KhwuEjIE_zs4OD6W1lD4f4iNNgth3PjX-v6R--AovwUNT8YtwgghrbkUgVNvs0TvNbblkBv6qJwETiIii5LMnrpb$ <https://urldefense.com/v3/__https://www.google.com/url?q=https:**Aupstate.zoom.us*j*94022814635*pwd*3DZXdZOFN3OFMrN1FjWlhOTGRid3YyUT09&sa=D&source=calendar&usd=2&usg=AOvVaw187efMJa_I0y-6haw1Ea09__;Ly8vLz8l!!GobTDDpD7A!KhwuEjIE_zs4OD6W1lD4f4iNNgth3PjX-v6R--AovwUNT8YtwgghrbkUgVNvs0TvNbblkBv6qJwETiIii1i5uAXT$ >

    Or, go to https://urldefense.com/v3/__https://upstate.zoom.us/join__;!!GobTDDpD7A!KhwuEjIE_zs4OD6W1lD4f4iNNgth3PjX-v6R--AovwUNT8YtwgghrbkUgVNvs0TvNbblkBv6qJwETiIii1Z90NZn$ <https://urldefense.com/v3/__https://www.google.com/url?q=https:**Aupstate.zoom.us*join&sa=D&source=calendar&usd=2&usg=AOvVaw2P1625yjFZuCEQ10qZkYaa__;Ly8v!!GobTDDpD7A!KhwuEjIE_zs4OD6W1lD4f4iNNgth3PjX-v6R--AovwUNT8YtwgghrbkUgVNvs0TvNbblkBv6qJwETiIii04GHMBk$ > andenter meeting ID: 940 2281 4635 and password: caseconf
Leader
Christine Stork, PharmD, MPH

Case Presentation

  1.  4 people including a 57 year old female present to the emergency department after someone put muriatic acid in the wrong pool tank at the hotel where they work. The patient complains of shortness of breath and wheezing.

  1.  What is muriatic acid?
  2.  What gasses can be produced with a variety of acids and bases
  3.  How would you empirically treat this patient

  1.  A 21 year old male is splashed in the eye with industrial aircraft carrier general purpose cleaner. The patient is currently complaining of redness in the eye area and burning sensation.
     *   How would you assess to try and obtain product information?
     *   How are acids and bases different as relates to ocular exposures?
     *   How would you further assess and treat this patient?
  2.  A 52 year old female reports taking 2-3 doses of her own medications 2 hours ago in an attempt at self-harm. Her medications include Pradaxa , aspirin, bupropion, hydroxychloroquine, Topomax, Prestique, Linzess and Mirapex
     *   List in order worst to best in terms of toxicity potential
     *   What are the important monitoring parameters for this patient?


Journal Club – Syracuse rotators, please read all articles and please let the fellow know who will briefly present each article.
1. Karvellas CJ, Tillman H, Leung AA, Lee WM, Schilsky ML, Hameed B, Stravitz RT, McGuire BM, Fix OK; United States Acute Liver Failure Study Group. Acute liver injury and acute liver failure from mushroom poisoning in North America. Liver Int. 2016 Jul;36(7):1043-50. doi: 10.1111/liv.13080. Epub 2016 Mar 4. PMID: 26837055.

2. Lin LY, Tong YL, Lu YQ. The characteristics of liver injury induced by Amanita and clinical value of α-amanitin detection. Hepatobiliary Pancreat Dis Int. 2022 Jun;21(3):257-266. doi: 10.1016/j.hbpd.2022.01.007. Epub 2022 Jan 31. PMID: 35168873.


Christine M. Stork, BSPharm, PharmD, MPH, DABAT, FAACT
Professor, Department of Emergency Medicine
Clinical Director, Upstate NY Poison Center
Upstate Medical University
Syracuse, NY

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