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Please join us as we attend NYC Consultants Case Conference (information and registration information below)</div>
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Syracuse rotators: please register independently</div>
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<a href="https://urldefense.com/v3/__https://survey.alchemer.com/s3/5971719/Consultant-Conference?eventid=a1Q4V000021fal7UAA&programname=NYC*20poison*20control¢er__;JSU!!GobTDDpD7A!fimo6k_QT9CZnqJhnhovLDMMivUCMETPEH70k_1L89_mHxqy15igZoEvIfpAwcgo$" class="x_OWAAutoLink" style="margin:0px;font-family:Calibri, Helvetica, sans-serif, EmojiFont, "Apple Color Emoji", "Segoe UI Emoji", NotoColorEmoji, "Segoe UI Symbol", "Android Emoji", EmojiSymbols;background-color:rgb(255, 255, 255)">https://survey.alchemer.com/s3/5971719/Consultant-Conference?eventid=a1Q4V000021fal7UAA&programname=NYC%20poison%20control¢er</a><br>
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<b><span style="margin:0px;font-size:14pt">Metals and Autoimmunity</span></b></p>
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<b><span style="margin:0px;font-size:14pt">Stephen Harding MD</span></b></p>
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<b><span style="margin:0px;font-size:14pt">Assistant Professor, Emergency Medicine / Medical Toxicology</span></b></p>
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<b><span style="margin:0px;font-size:14pt">Henry JN Taub Department of Emergency Medicine</span></b></p>
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<b><span style="margin:0px;font-size:14pt">Baylor College of Medicine</span></b></p>
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<span style="margin:0px;font-family:Calibri, sans-serif">Consultants’ Conference will take place from 2 PM - 4 PM EST.</span></p>
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<span style="margin:0px;font-family:Calibri, sans-serif">We will be broadcasting both the Grand Rounds lecture and Consultants’ Conference via the same link on WebEx and there WILL NOT be a live conference at the Public Health Laboratory. Please click<span> </span><a href="https://urldefense.com/v3/__https://survey.alchemer.com/s3/5971719/Consultant-Conference?eventid=a1Q4V000021fal7UAA&programname=NYC*20poison*20control¢er__;JSU!!GobTDDpD7A!fimo6k_QT9CZnqJhnhovLDMMivUCMETPEH70k_1L89_mHxqy15igZoEvIfpAwcgo$" style="margin:0px">HERE</a><span> </span>to
register and download the WebEx outlook file.</span></p>
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<b><span style="margin:0px;font-family:Calibri, sans-serif">Please Note: If you would like to receive this monthly announcement on a regular basis, please register for the conference at the link above, even if you are unable to attend.</span></b><span style="margin:0px;font-family:Calibri, sans-serif"></span></p>
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Cases to be discussed for Consultants’ Conference include:</p>
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<span style="margin:0px">1.<span style="margin:0px;font:7pt "Times New Roman""> <span> </span></span></span>A 75-year-old man with multiple medical problems including hypertension, diabetes mellitus, hyperlipidemia, and sciatica presents to the ED for
visual hallucinations over the past five days. He reportedly ran out of one of his pain medications one week ago. His initial vital signs are: BP, 100/56 mm Hg; HR, 66 beats/min; RR, 25 breaths/min; T, 36.9 degrees C; O<sub>2</sub> Sat, 97% (RA).</p>
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<span style="margin:0px;font-size:12pt"><span style="margin:0px">2.<span style="margin:0px;font:7pt "Times New Roman""> <span> </span></span></span></span><span style="margin:0px;font-size:12pt;color:black">A healthy adolescent girl is admitted to the
hospital for a “groin infection” that requires surgical intervention and intravenous antibiotics. On hospital day 7, the Poison Control Center is consulted because of an increase in serum creatinine to 8.64 mg/dL (reference range: 0.50 – 1.0 mg/dL) and a concern
for “antibiotic toxicity.” Her vital signs at the time of consultation are: BP, 119/71 mm Hg; HR, 96 beats/min; RR, 22 breaths/min, T, 38.8 degrees C; O<sub>2</sub> Sat, 100% (RA).</span><span style="margin:0px;font-size:12pt"></span></p>
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<span style="margin:0px;font-size:11pt"><span style="margin:0px">3.<span style="margin:0px;font:7pt "Times New Roman""> <span> </span></span></span></span>A 44-year-old man presents to the hospital with “severe agitation” and requires pharmacologic sedation.
He is given a 3-fold dosing error of a medication and is admitted to medical service for “acute mania.” On hospital day 2, his creatinine phosphokinase peaks at 13,000; on hospital day 5, he is cleared to the Psychiatry Service. Two weeks later, the Poison
Control Center is called because the patient develops altered mental status and withdraws only to painful stimuli. Vital signs at this time are: BP, 124/75 mm Hg; HR, 114 beats/minute; RR, 18 breaths/minute; T, 100.2 degrees F; O2 Sat, 100% (RA).<span style="margin:0px;font-size:11pt"></span><br>
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<span lang="FR" style="margin:0px">Mark K. Su, MD, MPH</span><br>
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Director, New York City Poison Control Center</p>
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<span style="margin:0px;font-family:Calibri, sans-serif;color:rgb(33, 33, 33)">Jointly Provided by the NYU Grossman School of Medicine and the Poison Control Center.</span><span style="margin:0px;font-family:Calibri, sans-serif"></span></h1>
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<span style="font-family:"Lucida Handwriting","Apple Chancery",cursive">Christine M. Stork, BS Pharm, Pharm.D, DABAT, FAACT</span></div>
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<span style="font-family:"Lucida Handwriting","Apple Chancery",cursive">Professor, Department of Emergency Medicine</span></div>
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<span style="font-family:"Lucida Handwriting","Apple Chancery",cursive">Clinical Director, Upstate NY Poison Center</span></div>
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<span style="font-family:"Lucida Handwriting","Apple Chancery",cursive">Upstate Medical University</span></div>
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<span style="font-family:"Lucida Handwriting","Apple Chancery",cursive">Syracuse, NY</span></div>
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