Podcast 573:  Arsenic Toxicity

Podcast 573: Arsenic Toxicity

Contributor: Nick Tsipis, MD

Educational Pearls:

  • Arsenic is a heavy metal that binds to multiple cellular enzymes and inhibits aerobic metabolism
  • It is primarily absorbed through the skin, respiratory and GI tract.
  • The classic symptoms of heavy metal exposure are GI irritation (watery diarrhea, vomiting and abdominal pain) with multisystem organ failure.
  • Neuropathy can present insidiously
  • Initial work up includes EKG, and basic lab work (expect a delayed rise in liver function tests).
  • Acute arsenic ingestions can sometimes show up on imaging as it is radioapaque
  • Diagnosis is usually made with the history and evidence of multisystem organ failure.
  • Treatment should be coordinated with your local Poison Control or toxicologist and involves predominantly supportive care along with chelating agents succimer (oral) or dimercaprol (intramuscular)

References

Long N. Arsenic toxicity • LITFL • Toxicology Library Toxicant. Life in the Fast Lane • LITFL • Medical Blog. https://litfl.com/arsenic-toxicity/. Published August 25, 2019.

Kuivenhoven M, Mason K. Arsenic (Arsine) Toxicity. [Updated 2019 Apr 29]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK541125/



Jaksot(1147)

Podcast 539:  Coricidin Abuse

Podcast 539: Coricidin Abuse

Contributor:  Rachel Beham, PharmD Educational Pearls: Coricidin HBP Cough & Cold (dextromethorphan and chlorpheniramine) is one of the more commonly abused over-the-counter medications Dextromethorp...

10 Helmi 20203min

Podcast 538:  Low Maintenance Boxer's Fracture

Podcast 538: Low Maintenance Boxer's Fracture

Contributor: Jared Scott, MD Educational Pearls: A distal 5th metacarpal neck fracture is often referred to as a "boxer's fracture" and a common fracture encountered in the emergency department Splin...

4 Helmi 20202min

Podcast 537:  Thoughts on Cardiac Arrest

Podcast 537: Thoughts on Cardiac Arrest

Contributor:  Don Stader, MD Educational Pearls: High-quality compressions are an essential, and probably one of the most important, part of cardiac arrest  Actual evidence for drugs in cardiac arres...

3 Helmi 20205min

UnfilterED #4: Dr. Vivek Tayal

UnfilterED #4: Dr. Vivek Tayal

Dr. Vivek Tayal of Carolinas Medical Center, a pioneer of using ultrasound in the emergency department, reflects on his role in establishing ultrasound use in emergency medicine and much more! Ultra...

29 Tammi 202045min

Podcast 536:  Epistaxis 101

Podcast 536: Epistaxis 101

Contributor:  Dylan Luyten, MD Educational Pearls: Clear the nasal passages - have the patient, if stable, blow their nose to dislodge any clot that might be in the way Searching for the source of bl...

28 Tammi 20208min

Podcast 535: A Prescription for Falls

Podcast 535: A Prescription for Falls

Contributor: Aaron Lessen, MD Educational Pearls: Emergency department evaluation of falls, particularly in the elderly, should include an assessment of risk factors Common causes of falls in th...

28 Tammi 20202min

Mental Health Monthly #1: Decision Making Capacity

Mental Health Monthly #1: Decision Making Capacity

In the first episode of this new series, the complexities of decision making capacity are discussed. References and Further Reading: [1] Appelbaum, P. S. (2007). Assessment of patients' competence to...

22 Tammi 202010min

Podcast 534: Nerve Agents

Podcast 534: Nerve Agents

Author: Michael Hunt, MD Educational Pearls: Organophosphate "nerve agents" were developed in the 1930's These agents have cholinergic effects, which can be remembered by the mnemonic "SLUDGE" Sali...

21 Tammi 20205min

Suosittua kategoriassa Tiede

rss-poliisin-mieli
rss-mita-tulisi-tietaa
tiedekulma-podcast
docemilia
rss-luontopodi-samuel-glassar-tutkii-luonnon-ihmeita
rss-duodecim-lehti
radio-antro
utelias-mieli
filocast-filosofian-perusteet
rss-lapsuuden-rakentajat-podcast
rss-lihavuudesta-podcast
rss-sosiopodi