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the County Consult

A Cook County Hospital Emergency Medicine Blog for up-to-date medicine and more.

The Toxic Shelf: Ethylene Glycol - the Drink you Shouldn't Accept at a Party.

October 28, 2021

Case: A 23-year-old male with no past medical history presents with abdominal pain, altered mental status, nausea, and vomiting, after ingestion of approximately 2 cups (~100cc) of antifreeze at a party two days before presentation.

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In Toxicology Tags The Toxic Shelf
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Laundry Detergent Pods

October 22, 2021

A 2-year-old female was brought in by EMS after mom heard a scream and found her daughter had gotten into the laundry detergent packs approximately 30 minutes ago. Mom arrives with a half-eaten Tide Pod in hand and tells us that she immediately induced vomiting and called emergency services. On initial exam, the toddler is playful and interactive and has Mountain Breeze on her breath. You vaguely remember kids on the internet eating Tide Pods as a challenge several years ago, but you’re just an intern and are not sure how to move forward otherwise. Luckily, the toxicology fellow just so happens to also be one of your attendings tonight, and they fill you in with more than you ever wanted to know about this potentially fatal ingestion.

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In Toxicology
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County Coronaries: Straining The Right Heart

October 14, 2021

63 yo male with PMH of hypertension and mild case of COVID pneumonia four months prior, presents with one week of dyspnea on exertion and dry cough. He states that he experiences significant dyspnea with simple activities such as putting on his clothes or walking from his bedroom to the bathroom. He denies any chest pain, fevers, or chills.

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In Cardiology Tags County Coronaries, Cardiology
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