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
The post below was reviewed and edited by the guest lecturers Dr. Wiegand and Dr. Nacca from the University of Rochester toxicology department. Flumazenil is a nonspecific competitive antagonist of the benzodiazepine receptor, which can be used to reverse benzodiazepine-induced sedation following general anesthesia, procedural sedation, or overdose. However, the use of flumazenil in the …
A 59 y.o m with a hx of bipolar on wellbutrin and paxil presents with altered mental status. On exam he is found to be tachycardic, hypertensive, diaphoretic, and flushed. He has a fever to 38.1. He has clonus on exam as well as hyperreflexia and rigidity in his bilateral lower extremities. He requires intubation …
AOMC FOAMed 
You must be logged in to post a comment.