Envenomations
Crotaline (Pit vipers aka copperhead, rattlesnake, cottonmouth)
A young boy presents to the emergency department in respiratory distress after being stung multiple times while playing outside. The family is unsure what he was stung by but notes his father has to carry an epipen. What was he stung by
Wasps, Bees
The active ingredient in the party drug shrooms is also known as
Psilocybin
Acute ingestion of this metal odorless and tasteless metal will lead to "rice water" diarrhea, and may mimic Guillain Barre. Chronic ingestion will lead to keratosis, melanosis, anemia, malignancies of the skin, bladder, and kidney.
Arsenic
A patient presents while unconscious after mixing ammonia and bleach. What was inhaled
Chlorine
An unconscious patient presents after free diving in the barrier reef. Bystanders report that the patient complained of perioral tingling and some mild weakness before rapidly decompensating. The patient was envenomated by what animal
Blue Ringed Octopus
A patient presents after being bit by a spider while carrying firewood into their house. The bite is erythematous and the patient is noted as tachycardic and hypertensive. The spider he was bit by is also known as
Black widow (alpha-latrotoxin)
A patient presents to the ED with AMS, flushed skin, dilated pupils, and inability to urinate after smoking some leaves in her backyard, what did she smoke
Jimson Weed
An adult presents to the emergency department after recently starting a job restoring an old home. He reports that he has been feeling ill with multiple episodes of diarrhea, but today he has been having trouble walking. He says his foot keeps dropping. What metal are his symptoms related to?
Lead
A patient presents with alkaline burns on his hands after working in construction without gloves. What substance was he working with
Cement
While working a locums job in Australia, a patient presents in cardiac arrest after being stung by some of the local wildlife, there is a cross hatched pattern seen where the patient was stung. What were they stung by
Box Jelly Fish
While working in the Sunset State, a patient presents with severe epigastric abdominal pain after being stung by an animal. What was the patient stung by
Arizona Bark Scorpion
The poison found in the south american poison dart frog is known as
Batrachotoxin
Patient comes to the ED with a headache and muscle aches. He recently started a new job as a welder. What metals are responsible for his symptoms?
MgO2, Zinc, Copper, Chromium
Hydrofluoric Acid
Patient presents with diplopia and dysphagia after being bit by a snake. The class of snakes they were bit by are
Elapidae (Coral snakes)
The great Steve Irwin unfortunately met his end on the other end of a sting. The sting from this animal typically causes what kind of shock
Hemorrhagic
The active toxin in Fugu poisoning has a mechanism of action of
Sodium channel blockade
Leukocytosis, elevated lactate dehydrogenase
Despite placing a patient with from the previous prompt in surgical gloves with calcium, he is still having severe pain, what other treatment could you do
Intraarterial Calcium
A patient presents with hypotension and severe pain after accidentally grabbing a fish with multiple dorsal spines. This fish is found in the coastal regions of the Indo-Pacific. What fish is it
Stonefish
A young girl presents to the emergency department after being found unable to walk, she is also starting to have some difficulty breathing. The family lives in the outskirts of Spokane, Washington. What action must be taken to find the most likely etiology
Roll the patient over to assess for ticks
A child presents to the emergency department actively seizing roughly 6 hours after ingesting some mushrooms in his backyard. EMS has given multiple rounds of ativan without success. The toxin ingested is known as
Gyromitrin
A patient presents after having ingested a large amount of gasoline within the last hour in an apparent suicide attempt. The patient is currently conscious and able to protect his airway. What agent that has fallen out of favor recently should not be given
Ipecac
A child presents after drinking drain cleaner out form under the sink in their home's kitchen. What alkali agent was the patient exposed to and what kind of necrosis does this cause
Lye, Liquefactive Necrosis