ACMT Toxicology Visual Pearl: Out of the Blue
Exposure to which of the following could produce the pictured results? Carbon monoxide Lead paint Morphine Oral analgesic gel
Rafael Lima, MD |
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Exposure to which of the following could produce the pictured results? Carbon monoxide Lead paint Morphine Oral analgesic gel
Rafael Lima, MD |
Which cardiotoxic plant is shown? Lily of the valley Moonflower Morning glory Water hemlock White snakeroot
Sheila Goertemoeller, PharmD, DABAT, ICPS |
The venom from this pictured snail shares a primary mechanism of action with what other deadly toxin? Alpha-latrotoxin Botulinum toxin Bufotoxin Tetanus toxin Sarin
Aaron Frolichstein, MD |
Which of the following is the most likely explanation for this skin lesion in a worker handling sheep hides? Bacillus anthracis Group A streptococcus Pseudomonas aeruginosa Staphylococcus aureus (Photo credit:...
Alex Blackwell, MD |
What is the proposed mechanism for the pictured antidote when used as a pressor for refractory vasoplegic shock? Alpha-1-adrenergic agonist Angiotensin II receptor antagonist Nitric oxide/cyclic GMP pathway inhibition Vasopressin-1...
Parker Hambright, MD |
Photo used with permission The following physical finding would be most consistent with exposure to which of the following? Bee sting Household bleach Isopropyl alcohol Potassium hydroxide
Maha M Farid MBBCh, MSc, PhD |
What is the correct antidote for a patient who is poisoned with the pictured substance? Digoxin Specific Fab Hydroxocobalamin/Sodium Thiosulfate Physostigmine Pyridoxine (photo used with permission courtesy of Maureen Dallhoff,...
Charles Harris III, MD |
Which of the substances below causes crystalluria with hexagonal crystals that shimmer on macroscopic urine examination? Acyclovir Ethylene glycol Indinavir Primidone Sulfamethoxazole/trimethoprim
Alex Ponce, PharmD |
Which toxic exposure can present with the pictured rash along with hypertension and tachycardia mimicking pheochromocytoma? Arsenic Lead Mercury Silver Thallium
Michael Semple, DO |
What type of Mothball floats in both water and saturated salt solution? Camphor Naphthalene Paradichlorobenzene Sodium Hypochlorite
Elzada Sercus, MD |
Which of the following medications is likely responsible for this urine discoloration in an intubated and sedated ICU patient? Fentanyl Ketamine Lorazepam Midazolam Propofol
Clare Gunn, MD |
A 15-year-old male presents symptomatic several hours after inhaling spores of this mushroom as a home remedy for epistaxis. What is the presentation and pathophysiology of the toxic syndrome associated...
Bryan Ross, MD |
A patient bitten by the pictured creature with the pictured lesion should be screened for which pathology? Acute liver failure Ascending paralysis Hemolysis Meningitis Myocarditis
Michael Simpson, MD |
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