The first 100 “Tox Tunes”

August 30, 2015, 9:15 pm

On January 3, 2010, TPR launched “Tox Tunes,” a series of clips of songs about drug, toxins, and poisons starting with Keith Richards’ version of Reverent Gary Davis’s “Cocaine Blues.” Last week, we featured our one-hundredth tune, Amy Winehouse’s classic — and tragically ironic — song “Rehab.” To celebrate the 100-tunes milestone, we are listing all …

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Management of body packers

August 25, 2015, 12:15 am

Body packer

Body packer

★★☆☆☆

Assessment of the management outcomes of body packers. Alfa-Wali M et al. ANZ J Surg 2015 Jul 14 [Epub ahead of print]

Abstract

This article from Hillingdon Hospital in London — located a mere 4 miles from Heathrow airport — was intended to evaluate the facility’s existing protocol for managing body packers.

Although some details of their …

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Tox Tunes #100: Rehab (Amy Winehouse)

August 23, 2015, 11:03 pm

TPR started the series “”Tox Tunes” on January 3, 2010 with Keith Richards’ cover of Reverend Gary Davis classic “Cocaine Blues.” Our stated goal was to highlight selections “culled from the long tradition of popular songs about drugs, toxins, and poisoning.”

Amy Winehouse’s “Rehab” — sometimes called the most ironic song in history — is our one-hundredth selection. Of course, …

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Make the Diagnosis, Sherlock!

August 19, 2015, 4:45 pm

holmes2-150x150A 24-year-old man is brought to the emergency room with altered mental status. He was found wearing only his undershorts and shouting “I am God!” A friend reports that 3 hours before presentation the patient had been seen smoking marijuana. Can you make the diagnosis?

This case is part of the New England Journal of Medicine‘s “Interactive Medical Case” …

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Google Glass in toxicology: there may be less here than meets the eye(glasses)

August 18, 2015, 12:15 am

Google Glass

Google Glass

★★★☆☆

The Feasibility and Acceptability of Google Glass for Teletoxicology Consults. Chai PR et al. J Med Toxicol 2015 Aug 6 {Epub ahead of print]

Abstract

This paper takes up a fascinating subject — it has already received a fair amount of attention in the media — but I think there is somewhat less here than meets the eye.…

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Ten cases of suspected palytoxin poisoning

August 14, 2015, 10:22 pm

Zoanthid colony

Zoanthid colony

★★★½☆

Suspected Palytoxin Inhalation Exposures Associated with Zoanthid Corals in Aquarium Shops and Homes — Alaska, 2012-2014. Hamade AK et al. MMWR 2015 Aug 14;64:852855.

Full Text

Palytoxin is a huge molecule that jams sodium channels in the open position, impairing the ability of excitable cells to maintain normal electrical gradient across the cell membrane. In addition, the …

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Candiru: a catfish that’s small, eel-like, and penetrates the urethra

August 11, 2015, 10:57 pm

★★★½☆

Candiru — A Little Fish With Bad Habits: Need Travel Health Professionals Worry? A Review. Bauer IL J Travel Med 2013 Mar-Apr;20:119-124.

Abstract

Don’t know how I missed this paper when it was published 2 years ago. The author searched medical literature to answer the pressing question: Is there really a catfish native to the Amazon River that can swim …

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Early metabolic acidosis and coma in massive acetaminophen overdose

August 7, 2015, 1:33 pm

mind-the-gap★★★½☆

Coma and Severe Acidosis: Remember to Consider Acetaminophen. Villano JH et al. J Med Toxicol 2015 July 8 [Epub ahead of print]

Reference

This paper, from UC-San Diego, contains an excellent case discussion that makes numerous important points about a patient who presents with decreased mental status and high-anion-gap metabolic acidosis.

The patient was a 28-year-old male who was …

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Review: liquid nicotine toxicity

July 30, 2015, 3:45 pm

e-cig-liquid-hookah-town-300x224★★½☆☆

Liquid Nicotine Toxicity. Kim JW, Baum CR. Pediatr Emer Care 2015;31:517-524.

Abstract

This review of liquid nicotine toxicity is part of the continuing medical education series in Pediatric Emergency Care.

While there are a few good clinical nuggets buried in this review, they are surrounded by so many distracting and unnecessary epidemiological facts that the whole paper — though …

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