ACMT Toxicology Visual Pearl: Swollen Lips
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
ACMT Toxicology Visual Pearl: Pretty (and Deadly) in Purple
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, MD)
ACMT Toxicology Visual Pearl | Substance-Induced Crystalluria: All That Glitters Is Not Gold
Which of the substances below causes crystalluria with hexagonal crystals that shimmer on macroscopic urine examination?
- Acyclovir
- Ethylene glycol
- Indinavir
- Primidone
- Sulfamethoxazole/trimethoprim
ACMT Toxicology Visual Pearl: Hypertension and Rash
Which toxic exposure can present with the pictured rash along with hypertension and tachycardia mimicking pheochromocytoma?
- Arsenic
- Lead
- Mercury
- Silver
- Thallium
ACMT Toxicology Visual Pearl: Sink or Swim
What type of mothball floats in both water and saturated salt solution?
- Camphor
- Naphthalene
- Paradichlorobenzene
- Sodium Hypochlorite
ACMT Toxicology Visual Pearl: Questions about green pee? Urine luck!
Which of the following medications is likely responsible for this urine discoloration in an intubated and sedated ICU patient?
- Fentanyl
- Ketamine
- Lorazepam
- Midazolam
- Propofol
ACMT Toxicology Visual Pearls – In “Spore” Taste
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 with this mushroom?
For a video of this mushroom in action: https://youtu.be/G_DXTlvvsco
- Dyspnea and cough from hypersensitivity alveolitis
- Flushing, nausea and vomiting from acetaldehyde accumulation
- Nausea, vomiting and hepatoxicity from RNA synthetase inhibition
- Seizures from reduced GABA production in the central nervous system