Podcast 781: Foxglove, Dropsy, and Salvador Dali

Podcast 781: Foxglove, Dropsy, and Salvador Dali

Contributor: Chris Holmes, MD

Educational Pearls:

  • Foxglove plant contains the cardiac glycoside digoxin
  • Foxglove leaf potions were once used to treat Dropsy; a historic term for symptoms of heart failure
  • Digoxin, previously used for treating heart failure, works by increases heart contraction strength and slows heart rate
  • Of note, the EKG of patient on digitalis may have a 'Dali Mustache' appearance
  • Digoxin toxicity can lead to a variety of dysrhythmias as well as neurological, GI, and metabolic effects
  • Treatment of digoxin toxicity is digoxin-immune fab, which is an antibody that binds digoxin

References

David MNV, Shetty M. Digoxin. [Updated 2021 Dec 23]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK556025/

Cummings ED, Swoboda HD. Digoxin Toxicity. [Updated 2021 Jul 10]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK470568/?report=classic

Summarized by Kirsten Hughes, MS4 | Edited by John Spartz MS4 & Erik Verzemnieks, MD

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Episoder(1146)

Pharmacy Phriday #9: Xofluza (Baloxavir marboxil) for Influenza

Pharmacy Phriday #9: Xofluza (Baloxavir marboxil) for Influenza

Contributor: Rachael Duncan, PharmD BCPS Educational Pearls:  According to the Department of Public Health and Environment who puts out a weekly report on the influenza virus in Colorado, there appea...

12 Feb 202112min

Mental Health Monthly #7: Urine Toxicology in the ED

Mental Health Monthly #7: Urine Toxicology in the ED

This episode of Mental Health Monthly we will be discussing drugs screens in the Emergency Department with Dr. Justin Romano and Eddie Carillo. Dr. Justin Romano is a current psychiatry resident and E...

10 Feb 202114min

Podcast 639: Rib Fractures in the Elderly

Podcast 639: Rib Fractures in the Elderly

Contributor: Aaron Lessen, MD Educational Pearls: Retrospective review of 5,021 patients over 65 with 2 or more rib fractures recently published 3577 (78 %) were admitted to non-ICU setting 1.1% of ...

9 Feb 20213min

Podcast 638: Pyogenic Liver Abscess

Podcast 638: Pyogenic Liver Abscess

Contributor: Aaron Lessen, MD Educational Pearls: Pyogenic liver abscesses can be caused by Intra-abdominal infection progressing to peritonitis which then drains into liver Bacteremia leading to h...

8 Feb 20213min

Podcast 637: LSD

Podcast 637: LSD

Contributor: Katie Sprinkel, MD Educational Pearls: Commonly known as "acid," LSD is seeing a resurgence in the population as a recreational hallucination Onset is about 30 minutes with peak pharmaco...

2 Feb 20216min

Podcast 636: May-Thurner Syndrome

Podcast 636: May-Thurner Syndrome

Contributor: Sam Killian, MD Educational Pearls: iliac vein compression syndrome is also called May-Thurner Syndrome The left leg more frequently develops deep venous thrombosis (DVT) in part because...

1 Feb 20213min

Pharmacy Phriday #8: Atropine with Ketamine for Conscious Sedation of Pediatrics

Pharmacy Phriday #8: Atropine with Ketamine for Conscious Sedation of Pediatrics

Educational Pearls: Atropine has been shown to reduce hypersalivation as well as nausea and vomiting induced by ketamine sedation. Atropine can increase the occurrence of a transient rash, as well a...

29 Jan 20213min

Podcast 635: Wide Complex Tachycardias

Podcast 635: Wide Complex Tachycardias

Contributor: Peter Bakes, MD Educational Pearls: Two main differentials for wide complex tachycardia (WCT) include ventricular tachycardia (most common) and supraventricular tachycardia with aberranc...

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