ACMT Toxicology Visual Pearl: Sleeping with the Fishes
What recreationally used substance has been dispensed in this fish-shaped dropper?
- Amyl nitrite
- Gamma-hydroxybutyrate (GHB)
- Heroin
- Ketamine
[Author’s own image]
ACMT Visual Pearl: Basal Ganglia Hemorrhage
Which toxic alcohol can cause a basal ganglia hemorrhage?
- Ethanol
- Isopropanol
- Methanol
- Propylene glycol
[Left image from Wikimedia Commons]
ACMT Visual Pearl: Necrosis in the Name of Anticoagulation
What anticoagulant medication can cause these skin changes?
- Apixaban
- Heparin
- Rivaroxaban
- Warfarin
[Image courtesy of Herbert Fred, MD and Hendrik van Dijk via Wikimedia Commons]
ACMT Toxicology Visual Pearl: Turning Blue
What commercially available product can cause blue-grey discoloration of the skin and conjunctiva with long term use?
- Benzocaine, 20% oral gel
- Colloidal silver, 30 ppm liquid solution
- Ferrous sulfate, 325 mg tablet
- Methylene blue, 1% oral solution
[Image from Herbert L. Fred, MD and Hendrik A. van Dijk via Wikimedia Commons]
ACMT Toxicology Visual Pearl: Hiss-teria Averted
What is the predominant clinical effect of envenomation by this snake?
- Acute hepatic failure leading to coagulopathy
- Direct cardiotoxicity leading to arrhythmias
- Profound neuromuscular paralysis
- Rapid onset of shock and multisystem organ failure
[Image courtesy of iStock. ID: 1311554579]
ACMT Toxicology Visual Pearl: Poison Dart Frog
The toxin from the golden poison dart frog most resembles which of the following in its mechanism of action?
- Botulinum toxin
- Bufotoxin
- Grayanotoxin
- Palytoxin
- Tetrodotoxin
Photo adapted from Wilfried Berns (Wikimedia Commons)