quizzER Vol 1.1

Toxicology
After being fired from his job, a 35-year-old man attempts suicide by drinking from a bottle labeled “Insecticide”. Three hours later, EMS brings him in to the ED and you notice he is extremely diaphoretic, drooling, and vomiting. He is awake but confused. His vital signs are BP 170/90 mm Hg, HR 100, RR 22, Temp 98.6 ºF, and oxygen saturation 95% on room air. Physical exam demonstrates pinpoint pupils and crackles on lung exam. What is the treatment to reverse this patient’s poisoning?
a. Pilocarpine and Suxamethonium
b. N-acetylcysteine
c. Atropine and Pralidoxime (2-PAM)
d. Flumazenil
e. Physostigmine

Please click on the “comments” link or post your answer in the “reply box”.  You will not see your answer post until next week when all of the submitted answers will be posted.  Good luck!

quizzER is a weekly contest consisting of a question selected from various areas of emergency medicine that are central to the education of medical students and residents in training.

VizD Vol 1.1

Case 1:1

A 32-year-old man presents to your ED complaining of intense pruritis to the plantar portion of his foot.  He states that he returned from Guyana just two days earlier where he spent a week providing medical care to an indigenous community.  His sleeping quarters was close to the beach where he went on daily jogs.   On exam, you note the lesion seen below.

Questions:

1. What is the diagnosis?

2. What is the most common treatment?

3. Is the prognosis favorable or unfavorable?

Please click on the “comments” link or post your answer in the “reply box”.  You will not see your answer post until next week when all of the submitted answers will be posted.  Good luck!

VizD is a weekly contest of an interesting or pathognomonic image from emergency medicine. Its goal is to integrate learning into a fun and relaxed environment. All images are original and are posted with the consent of the patient.

Receiving…beta

Welcome to our new forum. We are looking for a diverse group of people to make this forum a success. Whether your interests lie in the humanities such as writing, poetry, and photography or in medical educational and research, there is certainly a role for you. The site is still a work in progress. We welcome your input and certainly your participation (you don’t need to know a thing about computers!) Below are some sample entries.

In the mean time, remember why you are here

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