44 year old male presents to ED with a medical history of hypertension and notes several vague complaints including numbness, fatigue, and slurred speech. Patient’s girlfriend notes that over the last several days the patient has been acting strangely, slurring his speech, appears confused, while periodically falling asleep. Physical exam is grossly negative with the …
Continue reading Toxic Alcohols and the 5 minutes before the exam
A 34 year old male with a medical history of hypertension, hyperlipidemia and chronic liver injury secondary to alcohol abuse presented to the emergency department with diffuse abdominal pain and more than 30 episodes of vomiting over the past 12 hours. The patient admitted to increased alcohol intake over the past two days, however stated …
Poisonings with methanol, ethylene glycol, and isopropanol often present the emergency physician with major diagnostic challenges: The identity of the ingested substance is frequently a mystery on presentation. Patients with an intentional ingestion, either for recreation or with suicidal intent, may be less than forthcoming. Young patients may not be able to identify the substance. Patients may be …
AOMC FOAMed 
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