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<div style="mso-element:para-border-div;border-top:solid #4472C4 1.0pt;border-left:none;border-bottom:solid #4472C4 1.0pt;border-right:none;padding:10.0pt 0in 10.0pt 0in;margin-left:.6in;margin-right:.6in">
<p class="MsoIntenseQuote" style="mso-margin-top-alt:.25in;margin-right:0in;margin-bottom:.25in;margin-left:0in">
Upstate NY Poison Center<o:p></o:p></p>
<p class="MsoIntenseQuote" style="mso-margin-top-alt:.25in;margin-right:0in;margin-bottom:.25in;margin-left:0in">
<span style="font-family:"Arial",sans-serif">Toxicology Case Conference<o:p></o:p></span></p>
<p class="MsoIntenseQuote" style="mso-margin-top-alt:.25in;margin-right:0in;margin-bottom:.25in;margin-left:0in">
<span style="font-family:"Arial",sans-serif">August 11, 2022<o:p></o:p></span></p>
<p class="MsoIntenseQuote" style="mso-margin-top-alt:.25in;margin-right:0in;margin-bottom:.25in;margin-left:0in">
<span style="font-family:"Arial",sans-serif">Time: 1330-1530<o:p></o:p></span></p>
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<p class="MsoNormal"><span style="font-family:"Arial",sans-serif;color:black">Location<o:p></o:p></span></p>
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<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Arial",sans-serif;color:black">JH 5<sup>th</sup> Floor<o:p></o:p></span></p>
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<td width="89" valign="top" style="width:67.05pt;border:solid windowtext 1.0pt;border-top:none;padding:0in 5.4pt 0in 5.4pt;height:56.95pt">
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Arial",sans-serif;color:black"><o:p> </o:p></span></p>
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<td width="566" valign="top" style="width:424.2pt;border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:56.95pt">
<p style="background:white"><span style="font-size:9.0pt;font-family:"Arial",sans-serif;color:black">Zoom:
</span><span class="MsoHyperlink"><span style="font-size:9.0pt;font-family:"Arial",sans-serif;letter-spacing:.15pt"><a href="https://urldefense.com/v3/__https://upstate.zoom.us/j/94022814635?pwd=ZXdZOFN3OFMrN1FjWlhOTGRid3YyUT09__;!!GobTDDpD7A!KhwuEjIE_zs4OD6W1lD4f4iNNgth3PjX-v6R--AovwUNT8YtwgghrbkUgVNvs0TvNbblkBv6qJwETiIii5LMnrpb$">https://upstate.zoom.us/j/94022814635?pwd=ZXdZOFN3OFMrN1FjWlhOTGRid3YyUT09</a></span></span><span style="font-size:9.0pt;font-family:"Arial",sans-serif;color:#3C4043;letter-spacing:.15pt"><o:p></o:p></span></p>
<p style="background:white"><span style="font-size:10.5pt;font-family:"Arial",sans-serif;color:#3C4043;letter-spacing:.15pt"><a href="https://urldefense.com/v3/__https://www.google.com/url?q=https:**Aupstate.zoom.us*j*94022814635*pwd*3DZXdZOFN3OFMrN1FjWlhOTGRid3YyUT09&sa=D&source=calendar&usd=2&usg=AOvVaw187efMJa_I0y-6haw1Ea09__;Ly8vLz8l!!GobTDDpD7A!KhwuEjIE_zs4OD6W1lD4f4iNNgth3PjX-v6R--AovwUNT8YtwgghrbkUgVNvs0TvNbblkBv6qJwETiIii1i5uAXT$" target="_blank"><span style="color:#1A73E8">https://upstate.zoom.us/j/94022814635?pwd=ZXdZOFN3OFMrN1FjWlhOTGRid3YyUT09</span></a><o:p></o:p></span></p>
<p style="background:white;font-variant-ligatures: normal;font-variant-caps: normal;orphans: 2;text-align:start;white-space:pre-wrap;widows: 2;-webkit-text-stroke-width: 0px;text-decoration-thickness: initial;text-decoration-style: initial;text-decoration-color: initial;word-spacing:0px">
<span style="font-size:10.5pt;font-family:"Arial",sans-serif;color:#3C4043;letter-spacing:.15pt"> Or, go to
<a href="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$" target="_blank">
<span style="color:#1A73E8">https://upstate.zoom.us/join</span></a> andenter meeting ID: 940 2281 4635 and password: caseconf<o:p></o:p></span></p>
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<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Arial",sans-serif;color:black">Leader<o:p></o:p></span></p>
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<td width="566" valign="top" style="width:424.2pt;border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:13.05pt">
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Arial",sans-serif;color:black">Christine Stork, PharmD, MPH<o:p></o:p></span></p>
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<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal"><span style="font-size:14.0pt">Case Presentation<o:p></o:p></span></p>
<ol start="1" type="1">
<li class="MsoListParagraphCxSpFirst" style="color:black;mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;margin-left:0in;mso-add-space:auto;line-height:normal;mso-list:l1 level1 lfo1">
<span style="font-size:12.0pt">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.<o:p></o:p></span></li></ol>
<ol start="1" type="a">
<li class="MsoListParagraphCxSpMiddle" style="color:black;mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;margin-left:.75in;mso-add-space:auto;line-height:normal;mso-list:l0 level1 lfo2">
<span style="font-size:12.0pt">What is muriatic acid?<o:p></o:p></span></li><li class="MsoListParagraphCxSpMiddle" style="color:black;mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;margin-left:.75in;mso-add-space:auto;line-height:normal;mso-list:l0 level1 lfo2">
<span style="font-size:12.0pt">What gasses can be produced with a variety of acids and bases<o:p></o:p></span></li><li class="MsoListParagraphCxSpMiddle" style="color:black;mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;margin-left:.75in;mso-add-space:auto;line-height:normal;mso-list:l0 level1 lfo2">
<span style="font-size:12.0pt">How would you empirically treat this patient<o:p></o:p></span></li></ol>
<ol start="2" type="1">
<li class="MsoListParagraphCxSpMiddle" style="color:black;mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;margin-left:0in;mso-add-space:auto;line-height:normal;mso-list:l1 level1 lfo1">
<span style="font-size:12.0pt">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.<o:p></o:p></span></li><ol start="1" type="a">
<li class="MsoListParagraphCxSpMiddle" style="color:black;mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;margin-left:0in;mso-add-space:auto;line-height:normal;mso-list:l1 level2 lfo1">
<span style="font-size:12.0pt">How would you assess to try and obtain product information?<o:p></o:p></span></li><li class="MsoListParagraphCxSpMiddle" style="color:black;mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;margin-left:0in;mso-add-space:auto;line-height:normal;mso-list:l1 level2 lfo1">
<span style="font-size:12.0pt">How are acids and bases different as relates to ocular exposures?<o:p></o:p></span></li><li class="MsoListParagraphCxSpMiddle" style="color:black;mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;margin-left:0in;mso-add-space:auto;line-height:normal;mso-list:l1 level2 lfo1">
<span style="font-size:12.0pt">How would you further assess and treat this patient?<o:p></o:p></span></li></ol>
<li class="MsoListParagraphCxSpMiddle" style="color:black;mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;margin-left:0in;mso-add-space:auto;line-height:normal;mso-list:l1 level1 lfo1">
<span style="font-size:12.0pt">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<o:p></o:p></span></li><ol start="1" type="a">
<li class="MsoListParagraphCxSpMiddle" style="color:black;mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;margin-left:0in;mso-add-space:auto;line-height:normal;mso-list:l1 level2 lfo1">
<span style="font-size:12.0pt">List in order worst to best in terms of toxicity potential<o:p></o:p></span></li><li class="MsoListParagraphCxSpMiddle" style="color:black;mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;margin-left:0in;mso-add-space:auto;line-height:normal;mso-list:l1 level2 lfo1">
<span style="font-size:12.0pt">What are the important monitoring parameters for this patient?<o:p></o:p></span></li></ol>
</ol>
<p class="MsoListParagraphCxSpLast" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;margin-left:1.25in;mso-add-space:auto;line-height:normal">
<span style="font-size:12.0pt;color:black"><o:p> </o:p></span></p>
<p class="MsoNormal">Journal Club – Syracuse rotators, please read all articles and please let the fellow know who will briefly present each article.<o:p></o:p></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Segoe UI",sans-serif;color:black">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.</span><span style="font-size:11.5pt;font-family:"Segoe UI",sans-serif;color:#212121"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.5pt;font-family:"Segoe UI",sans-serif;color:#212121"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.5pt;font-family:"Segoe UI",sans-serif;color:black">2. </span><span style="font-size:12.0pt;font-family:"Segoe UI",sans-serif;color:black">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.</span><span style="font-size:11.5pt;font-family:"Segoe UI",sans-serif;color:#212121"><o:p></o:p></span></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal"><span style="font-family:"Script MT Bold"">Christine M. Stork, BSPharm, PharmD, MPH, DABAT, FAACT<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Script MT Bold"">Professor, Department of Emergency Medicine<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Script MT Bold"">Clinical Director, Upstate NY Poison Center<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Script MT Bold"">Upstate Medical University<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Script MT Bold"">Syracuse, NY<o:p></o:p></span></p>
<p class="MsoNormal"><o:p> </o:p></p>
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