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ALiEM presents ACMT Toxicology Visual Pearl: Clutching Your Perles! 

What type of EKG changes may be seen following ingestion of this medication, often prescribed for an upper respiratory infection?

-  AV block
-  Diffuse ST elevation
-  Prolonged QTc
-  Widened QRS 

@acmtmedtox

Watch the video to find out! 👀 

Click link in bio for more info! 📲 

https://www.aliem.com/acmt-clutching-your-perles/ 

#FOAMEd #FOAM #EmergencyMedicine #MedicalEducation  #medicalstudent #residentlife #medschool  #Emergency  #EmergencyMedicineResidency #EMResidency #tox #toxicology

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ALiEM presents ACMT Toxicology Visual Pearl:  Saute Gone Sour

Ingestion of the pictured mushroom is most associated with which toxicity?

-  Disulfiram-like reaction
-  Hallucinations
-  Liver failure
-  Seizures 

Watch the video to find out! 👀 
@acmtmedtox

Click link in bio for more info! 📲 

https://www.aliem.com/acmt-gone-sour/ 

#FOAMEd #FOAM #EmergencyMedicine #MedicalEducation  #medicalstudent #residentlife #medschool  #Emergency  #EmergencyMedicineResidency #EMResidency #tox #toxicology

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ALiEM presents ACMT Toxicology Visual Pearl: Big Spider, Small Risk

What is this spider?

-  Atrax robustus (Sydney funnel-web spider)
-  Phoneutria nigriventer (Brazilian wandering spider)
-  Trichonephila clavata (Joro Spider)
-  Trichonephila clavipes (Golden Silk Orb-Weaver) 

Watch the video to find out! 👀 
@acmtmedtox

Click link in bio for more info! 📲 

https://www.aliem.com/acmt-big-spider-small-risk/ 

#FOAMEd #FOAM #EmergencyMedicine #MedicalEducation  #medicalstudent #residentlife #medschool  #Emergency  #EmergencyMedicineResidency #EMResidency #tox #toxicology#meded #emdoc #emdoctor #emresident #meded

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EM Match Advice 51: 2026 EM Match by the Numbers 

Check out this new podcast episode!

The Emergency Medicine (EM) Match process continues to evolve, with 2026 bringing a mix of growth, new variables, and some familiar uncertainties. In this 51st installment of the EM Match Advice podcast series, Dr. Sara Krzyzaniak (Stanford EM PD) hosts the annual program director reflection on the Match with Dr. Abra Fant (Northwestern EM PD), now returning for her sixth consecutive year to share insights on the NRMP match trends and data. 

Click link in bio for more info! 📲 

https://www.aliem.com/em-match-advice-51-em-match-by-numbers/ 

#FOAMEd #FOAM #EmergencyMedicine #MedicalEducation  #medicalstudent #residentlife #medschool  #Emergency  #EmergencyMedicineResidency #EMResidency

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ALiEM presents ACMT Toxicology Visual Pearl:  Blue to the Rescue

The medication shown in the image is used to treat which type of toxic exposure?

Beryllium
Cadmium
Cesium
Iron 

@acmtmedtox

Watch the video to find out! 👀 

Click link in bio for more info! 📲 

https://www.aliem.com/acmt-blue-to-the-rescue/ 

#FOAMEd #FOAM #EmergencyMedicine #MedicalEducation  #medicalstudent #residentlife #medschool  #Emergency  #EmergencyMedicineResidency #EMResidency #Tox #Toxicology #EMdoc #EMdoctor #EMResident #meded

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ALiEM presents ACMT Toxicology Visual Pearl:  Sleeping with the Fishes
@acmtmedtox

What recreationally used substance has been dispensed in this fish-shaped dropper?

-  Amyl nitrite
-  Gamma-hydroxybutyrate (GHB)
-  Heroin
-  Ketamine 

Watch the video to find out! 👀 

Click link in bio for more info! 📲 

https://www.aliem.com/acmt-sleeping-with-the-fishes/ 

#FOAMEd #FOAM #EmergencyMedicine #MedicalEducation  #medicalstudent #residentlife #medschool  #Emergency  #EmergencyMedicineResidency #EMResidency #toxicology #tox

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ALiEM presents SAEM Clinical Images Series: An Unusual Appearing Umbilicus

A 70-year-old woman with prior breast cancer presents to the ED with family due to frequent falls and disorientation. She previously walked independently but now has worsening weakness and has become wheelchair-bound. The patient has no complaints at this time. What is the name of this physical exam finding?
@saemonline

Watch the video to find out! 👀 

Click link in bio for more info! 📲 

https://www.aliem.com/saem-clinical-images-series-unusual-appearing-umbilicus/ 

#FOAMEd #FOAM #EmergencyMedicine #MedicalEducation  #medicalstudent #residentlife #medschool  #Emergency  #EmergencyMedicineResidency #EMResidency

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ALiEM presents SAEM Clinical Images Series: Can I Snooze on This Bruise? 

A 21-month-old male with no medical problems is brought to the ED with concerns for bruising of the lower extremities and bilateral feet swelling. His parents noticed the patient walking differently 4 days ago, then noted bruising and edema of his feet. They state there has been no known injury or trauma, and at least one of the parents has been with the child at all times. The bruising has spread and darkened to become widespread on both legs and today they noticed a few new spots on his arms and face. They report some possible subjective fevers and mild congestion, but there have been no other symptoms. What is your suspected diagnosis?

Watch the video to find out the diagnosis! 👀 
@saemonline

Click link in bio for more info! 📲 

https://www.aliem.com/saem-clinical-images-series-can-i-snooze-on-this-bruise/ 

#FOAMEd #FOAM #EmergencyMedicine #MedicalEducation  #medicalstudent #residentlife #medschool  #Emergency  #EmergencyMedicineResidency #EMResidency

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ALiEM presents SAEM Clinical Images:  Wake-up Call

A 53-year-old female with a history of kidney/liver transplant, ESRD on hemodialysis, diabetes mellitus, and atrial fibrillation with recent failed cardioversion presents to the ED with 1 week of worsening generalized weakness, dyspnea on exertion, generalized abdominal pain, and vomiting. Her medications include: escitalopram 20 mg daily, flecainide 100 mg twice daily, magnesium oxide 400 mg daily, metoprolol 50 mg 3 times daily, pregabalin 50 mg daily, risperidone 0.5 mg twice daily, sevelamer 800 mg 3 times daily, tacrolimus 1.5 mg twice daily, ursodiol 300 mg 3 times daily, warfarin 5 mg daily, and tramadol 25 mg PRN.  What is the diagnosis based on the ECG?
@saemonline

Watch the video to find out! 👀 

Click link in bio for more info! 📲 

https://www.aliem.com/saem-clinical-images-series-wake-up-call/ 

#FOAMEd #FOAM #EmergencyMedicine #MedicalEducation  #medicalstudent #residentlife #medschool  #Emergency  #EmergencyMedicineResidency #EMResidency #tox #toxicology

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Also check out the Instagram feed by Dr. Michelle Lin.

Michelle Lin, MD
ALiEM Founder and CEO
Professor and Digital Innovation Lab Director
Department of Emergency Medicine
University of California, San Francisco
Michelle Lin, MD

@M_Lin

Professor of Emerg Med at UCSF-Zuckerberg SF General. ALiEM Founder @aliemteam #PostitPearls at https://t.co/50EapJORCa Bio: https://t.co/7v7cgJqNEn
Michelle Lin, MD