The Sniff That Really Gets Your Heart Going

Author: Kyle Hughes, MD, Emergency Medicine Resident, PGY-1Faculty: Alexis Cates, DO, Medical Toxicology/Emergency Medicine Attending The Case: A 44-year-old male with unknown past medical history presents to your emergency department reporting constant chest pain that radiates down both of his arms. He is also reporting shortness of breath and nausea. On quick chart review, you …

When Medication Compliance Backfires

Author: Alec Furstenberg, MD, Emergency Medicine Resident, PGY1Faculty:  Alexis Cates, DO, Medical Toxicology/Emergency Medicine Attending The Case: A 67 year old woman with past medical history of atrial fibrillation on warfarin, Type II diabetes mellitus, hyperlipidemia and hypertension presents to a large, urban emergency department with EMS after being found down by her husband. Per …

Cheap Highs and Organ Damage

Author:  David Rusev, PA-C, Emergency Medicine PA ResidentFaculty:  Alexis Cates, DO, Medical Toxicology/Emergency Medicine Attending Case #1: There is a 27-year old male with no significant past medical history who has presented to the emergency department with a complaint of abdominal pain. The pain is localized to the right upper quadrant, is non-radiating, and has …

Metformin Toxicity

Toxicology Talks with Toxijawn Author:  Mahrukh Choudhary MD, Emergency Medicine Resident, PGY IFaculty:  Alexis Cates DO, Medical Toxicology/Emergency Medicine Attending The Case… You are seeing a 54-year-old female in the Emergency Department (ED) with nausea, vomiting, and epigastric pain. Triage vital signs are as following: T 98.6F, HR 108 bpm, BP 85/48, SaO2 97% on …