Is crotalidae immune F(ab’)2 (equine) antivenom (Fab2AV) better than crotalidae immune polyvalent Fab (bovine) antivenom (FabAV) in preventing late hemotoxicity in patients who have been bitten and envenomated by rattlesnakes?
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A 15-year-old female with a history of depression and ADHD who presents to the ED after an intentional overdose. Family notes that the patient is prescribed Prozac and Adderall, but they also found Benadryl and Ibuprofen in her room. On arrival, the patient was hypertensive to 140/82 and tachycardic…
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A 16-year-old male with autism was brought to the emergency department after his mom found him confused and cyanotic. Patient arrived with a GCS of 14, was difficult to arouse, and had central cyanosis. Pulse oximetry read 85% despite adequate respiratory effort and clear lung sounds. The patient’s oxygen saturation did not improve despite appropriate supplemental oxygen therapy…
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A 17 y.o. female with PMH significant for ADHD, anxiety, and depression presents to the Children’s Hospital Emergency Department with a chief complaint of vomiting, accompanied by her mother. She states that she has been vomiting for two days. Since that time, she has lost count of the number of times she has vomited. She denies seeing red or black in her emesis and tried taking Pepto-Bismol but vomited the medication.She was able to shower once which helped a little…
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A 30-year-old female with a history of bipolar disorder presented after intentional lithium overdose. The patient reported feeling increasingly depressed for several weeks with intermittent suicidal thoughts. She reported getting into a verbal altercation with family while drinking alcohol and subsequently ingested a nearly full bottle of lithium (approximately 40 tablets, each with a concentration of 300 mg). She reported mild blurred vision and anxiety, but otherwise denied any other subjective complaints…
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