Archive for January 2010

Green urine

January 31, 2010, 11:52 pm

Life in the Fast Lane has posted an interesing case of drug-induced green urine.  I won’t spoil the surprising by revealing the causative agent.

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Cocktail Paralysis

January 31, 2010, 12:06 am

★★★☆☆

Cocktail Paralysis. Hammond K et al.  Amer J Med. 2009;122:907-908.

No abstract available on-line

This interesting case report, from the University of Saskatchewan, describes a 44-year-old woman who was transferred to the neurology service after developing severe muscle weakness (able to lift head but not any extremity against gravity) and hypokalemia (K = 1.6 mmol/L).  Workup revealed that…

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Mass overdose in Great Britain protests homeopathy – hundreds not injured

January 30, 2010, 3:20 pm

The Merseyside Skeptics Society (MSS) today carried out their planned mass overdose of homeopathic medications outside Boots chemist shops throughout England and Scotland. Homeopathy is a branch of alternative medicine based upon taking extremely dilute preparations of substances which — in larger doses — cause symptoms similar to those that the patient is experiencing.  Some proponents…

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Strip and shower? Or just strip? Decontamination after a chemical attack

January 29, 2010, 2:13 pm

★★★☆☆

Chemical Agent Simulant Release from Clothing Following Vapor Exposure. Feldman RJ. Acad Emerg Med Feb 2010;17:221-224.

Abstract

After the nerve agent sarin was released into the Tokyo subway system in 1995, the hospital closest to the event (St. Luke’s) received hundreds of patients into its emergency department. Although only a few of these patients were critically ill, . . .

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Warfarin and skin necrosis

January 28, 2010, 1:01 pm

★½☆☆☆

Warfarin-Induced Skin Necrosis. Inayatullah S et al.  South Med J Jan 2010;103:74-75.

Abstract

Warfarin-induced skin necrosis (WISN) is a rare (estimated prevalence 0.01 – 0.1%) but severe condition that all clinicians should be aware of.  It usually occurs within 1-10 days of starting warfarin, and is probably related to a drug-induced relative deficiency of the anticoagulation factor protein C,…

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