[toxnews] Toxicology Case Conference for 9/8/22 1330-1530

[Christine Stork]

Upstate NY Poison Center

Toxicology Case Conference

September 8, 2022

Time: 1330-1530
Location
JH 5th Floor


Zoom:

https://urldefense.com/v3/__https://upstate.zoom.us/j/94022814635?pwd=ZXdZOFN3OFMrN1FjWlhOTGRid3YyUT09__;!!GobTDDpD7A!N2hPOpiGjP9MVIhcNwSkkg99PxUMQuJ8g4Nbqu5CtdHFdTCuYJ3IFkP6Nf506Iml13x5qZ4IwMESV6ygNo3-PDDS$  

password: caseconf
Leader
Michael Keenan, MD and Sarah Mahonski, MD

Case Presentation
Case 1:
Patient is a 32 yo F who presented to an ED with AMS. Known substance use disorder. However, she does not improve like she normally does when allowed to metabolize. The provider notices that her respiratory rate is elevated and adds on labs. APAP comes back >400.
Case 2:
Patient is a 45 yo F who presented for not feeling well. She has felt shaky. Medical history is significant for asthma/COPD. She is a smoker, though she has not been smoking much the past week. The patient is tachycardic, a BP of 98/40, a potassium of 3.0, a lactate of 2.8.
Case 3:
Patient is a 45 yo M who presents to the ED thinking he may have eaten the wrong plant. He is a forager. He made a soup out of the plants he found and did not feel well after. He had an episode of vomiting, now has a HR 45, BP 65/44

Journal Club - Syracuse rotators, please read all articles and please let the fellow know who will briefly present each article.

1. Rita Farah, et al: Ivermectin associated adverse events in the treatment and prevention of COVID-19 reported to the CT pharmacovigilance project, Clinical Toxicology, DOI: 10.1080/15563650.2022.2070187

2. Neta Cohen, et al. Predictors of severe outcome following opioid in Toxicology, 60:6, 702-707, DOI 10.1080/15563650.2022.2038188
3. Tracy A. Klein, et al. Synthetic cannabinoid poisonings and access to the legal cannabis market: findings from US national poison centre data 2016-2019, Clinical Toxicology, DOI: 10.1080/15563650.2022.2099887



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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