ACMT Toxicology Visual Pearls: Toxic Mouth Pain

betel nut mouthA middle-aged Asian female presents to the emergency department complaining of 2-3 days of mouth pain. She has chewed betel nut for a number of years. Which of the following is true regarding her presentation and management?

  1. Debridement should be avoided.
  2. Metronidazole is contraindicated due to the potential of a disulfiram-like reaction.
  3. Oral secretagogues should be used due to the anticholinergic effects.
  4. The patient is at increased risk of oral cancer.

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By |2019-11-12T19:05:57-08:00Aug 30, 2018|ACMT Visual Pearls, ENT, Tox & Medications|

ACMT Toxicology Visual Pearls: Spider Bite

A patient presents to the ED for management of a spider bite. Which of the following statements is correct regarding a bite from the spider pictured?

  1. Laboratory studies can be helpful in management and predicting outcome.
  2. Antibiotics are recommended.
  3. The venom is cytotoxic and can cause red blood cell hemolysis.
  4. The venom is more potent on a volume-per-volume basis than the venom of a pit viper.

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By |2019-11-12T19:06:33-08:00Apr 9, 2018|ACMT Visual Pearls, Tox & Medications|
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