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EM Quick Hits 35 – 10 Best Papers of 2021, Peripartum Cardiomyopathy, Crashing Asthmatic, Febrile Neutropenia, Anaphylaxis update

Emergency Medicine Cases

The post EM Quick Hits 35 – 10 Best Papers of 2021, Peripartum Cardiomyopathy, Crashing Asthmatic, Febrile Neutropenia, Anaphylaxis update appeared first on Emergency Medicine Cases.

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ACMT Toxicology Visual Pearl: The Bark with Some Bite

ALiEM

However, most adverse reactions from willow bark supplements have been associated with people who have aspirin allergies, with numerous cases of anaphylaxis [6]. With severe toxicity, patients can have altered mental status, seizures, hyperthermia, and pulmonary edema. How does willow bark toxicity present? [7]

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Grand Rounds Recap 4.19.23

Taming the SRU

Exertional Hyperthermia Patients with heat stroke will present with Temp > 104, AMS, or seizures. Subsequent exposure results in a T-cell mediated response (Type IV hypersensitivity reaction) Plants: Toxicodendron species (poison ivy, poison oak, poison sumac) Also present in foods, including pistachio, cashew, and mango.

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Fearsome Foliage - An Overview of Toxic Plants

Taming the SRU

Anaphylaxis, hypoglycemia, cardiotoxicity, and neurotoxicity can all be seen following exposure to poisonous plants. Patients typically present with tachycardia, mydriasis hyperthermia, altered mental status, anhidrosis, and urinary retention. General Management Manage airway, breathing, and circulation. Address life-threats.

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Vasopressor Nonresponse

Northwestern EM Blog

Anaphylaxis Anaphylaxis may present as hypotension alone. Thus, it may easily be confused with a different form of shock and treated with vasopressors such as norepinephrine and vasopressin, which are not first line for anaphylaxis. Urticaria should prompt consideration of anaphylaxis.