Deep Dive MW R18

from EM Clerkship · host Zack Olson, MD and Michael Estephan, MD

Phase One: CNS * Ataxia, Slurred Speech, Confusion, N/V, Seizures Phase Two: Cardiopulmonary * CHF, Cardiogenic Shock/Hypotension, Pulmonary Edema, ARDS Phase Three: Renal * Flank pain, Hematuria, Oliguria, Renal Failure Diagnosis: * HIGH INDEX OF SUSPICION * Ethylene Glycol Serum Level * Elevated Osmolar Gap * Serial Anion Gap Measurements Treatment: * Fomepizole or Ethanol to prevent breakdown to toxic glycolic acid/oxalic acid * Hemodialysis * Consider Bicarb drip, pyridoxine, and thiamine Further Reading: EMCrit Toxic Alcohols

Episode metadata supplied by the publisher feed · Published Mar 16, 2024

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Deep Dive MW R18

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